Rare. Presents with sudden onset pain similar to kidney stone.
Suspect in pt with embolism risk: Atrial Fib or Prosthetic Heart Valve (esp. if B/P elevated).
Send to ER for
- Stat serum LDH: diagnostic if elevated
- Non-Contrast CT to R/O stone
Nurse Practitioner, Physician Assistant, and Medical Students;
Clinicians Young, Old, Retired (& tired);
Allied (& opposition) Health Professions;
and maybe some Patients (lawyers too?)