A 56-year-old man presents with sudden severe left loin-to-groin pain and visible haematuria. CT KUB shows a 4 mm distal ureteric stone and no signs o...

Question

A 56-year-old man presents with sudden severe left loin-to-groin pain and visible haematuria. CT KUB shows a 4 mm distal ureteric stone and no signs of obstruction or infection. He is otherwise well. What is the most appropriate management?

Accepted Answer

Conservative management with NSAIDs and oral fluids plus safety-net advice

Answer

Urgent nephrostomy

Answer

Immediate open surgery

Answer

Long-term antibiotics

Answer

No analgesia needed

uk-plab-1 MCQ (SBA): Ureteric colic

A 56-year-old man presents with sudden severe left loin-to-groin pain and visible haematuria. CT KUB shows a 4 mm distal ureteric stone and no signs of obstruction or infection. He is otherwise well. What is the most appropriate management?