Retroperitoneal hematoma Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 52-year-old man comes to the emergency department for evaluation of right flank pain. The patient underwent an outpatient percutaneous kidney biopsy two days ago, and the flank pain developed 24 hours after the procedure. The pain has progressively worsened. Medical history is notable for hypertension, type II diabetes mellitus. Temperature is 37.0°C (98.6°F), pulse is 96/min, and blood pressure is 138/82 mmHg. The incision site on the right flank is clean and dry. A CT of the abdomen and pelvis shows a dense fluid collection in the right retroperitoneal region. Which of the following physical examination findings may be seen in this patient?

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Tenderness to palpation in the suprapubic region

Arrest of inspiration with palpation of the right upper abdominal quadrant

Ecchymosis over the right flank

Tympanic sounds with abdominal percussion

Decreased pulse intensity in the right femoral artery