患者，男，51岁，HIV和耻骨上疼痛

Background背景A51-year-oldblackmanwithhistoryofHIVinfectionresistanttotenofovirdisoproxil/emtricitabine,renalstones,andrecurrenturinarytractinfection(UTI)presentstotheemergencydepartmentwithrightsuprapubicpainradiatingtothetesticles.Thepainwokehimabout1hourbeforepresentation.Hedescribesthepainassuddeninonset,continuousandprogressive,severeinintensity,andsharpandachingincharacter.Thepaindoesnotradiateanywhereelse.Healso







































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