Question

A 25-year-old presents with severe right flank pain radiating to the groin, with hematuria. A non-contrast CT abdomen shows a 5 mm ureteric calculus in the distal ureter. What is the most appropriate initial management?

Accepted Answer

Conservative management with NSAIDs and hydration

Answer

Immediate surgical removal

Answer

Extracorporeal shock wave lithotripsy (ESWL)

Answer

Percutaneous nephrolithotomy

Answer

Insertion of a nephrostomy tube

Practice question

A 25-year-old presents with severe right flank pain radiating to the groin, with hematuria. A non-contrast CT abdomen shows a 5 mm ureteric calculus in the distal ureter. What is the most appropriate initial management?