A 20-Year-Old Woman With Flank Pain and Vomiting

Sumaira Nabi, MBBS; Shahzad Ahmed, MBBS; Mazhar Badshah, MBBS


March 28, 2017

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A 20-year-old woman presents with a 2-week history of bilateral flank pain and episodic vomiting. She has no history of fever, dysuria, polyuria, hematuria, or urinary urgency. She has had epilepsy since early childhood and has been on multiple antiepileptic drugs with variable status of control.

She is taking the tablet form of levetiracetam (500 mg) three times a day and tablet carbamazepine (400 mg) three times a day. She is single and unemployed. She is a nonsmoker and denies substance abuse. Her family history is noncontributory.


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