Question

A 65-year-old man with a known 8 mm proximal ureteric stone develops fever, rigors and hypotension. CT confirms the obstructing stone with hydronephrosis. What is the most appropriate immediate management?

Accepted Answer

IV antibiotics plus urgent decompression of the collecting system (e.g. nephrostomy or ureteric stent)

Answer

Oral antibiotics and outpatient follow-up

Answer

ESWL as an outpatient

Answer

Increase oral fluids only

Answer

Watchful waiting

Practice question

A 65-year-old man with a known 8 mm proximal ureteric stone develops fever, rigors and hypotension. CT confirms the obstructing stone with hydronephrosis. What is the most appropriate immediate management?