A 23-year-old woman presents with nephrolithiasis (kidney stone). She has a 5 mm calculus in her distal ureter causing moderate colic. According to NI...

Question

A 23-year-old woman presents with nephrolithiasis (kidney stone). She has a 5 mm calculus in her distal ureter causing moderate colic. According to NICE guidelines, what is the recommended initial management if the patient is stable?

Accepted Answer

Trial of medical expulsive therapy with an alpha-blocker

Answer

Immediate surgical removal (ureteroscopy)

Answer

Extracorporeal shock wave lithotripsy (ESWL)

Answer

Percutaneous nephrolithotomy

Answer

Prescribe analgesics and watchful waiting only

ukmla MCQ (SBA): Nephrolithiasis

A 23-year-old woman presents with nephrolithiasis (kidney stone). She has a 5 mm calculus in her distal ureter causing moderate colic. According to NICE guidelines, what is the recommended initial management if the patient is stable?