SOLVED3897

43-year-old man presents with acute-onset left flank pain for the past 6 hours. He describes the pain as severe and “coming in waves” and points to the left costovertebral angle (CVA) area. He works outdoors and has not been drinking much water recently. Review of systems is notable for nausea and vomiting. His chronic medical problems include hypertension, gout, and type 2 diabetes mellitus. He is afebrile, and his vital signs are within normal limits. On physical examination, he is writhing in pain and moaning. Findings are significant for left CVA tenderness. A urinalysis shows gross hematuria. What is the next best step in evaluating this patient?
SCIENCE
HEALTH SCIENCE
NURSING

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