Question

A 30-year-old man arrives in A&E with severe flank pain radiating to the groin and haematuria. Ultrasound confirms a 5 mm stone in the ureter. According to NICE, what is the recommended initial conservative management for a ureteric stone of this size?

Accepted Answer

NSAIDs for pain relief and hydration, with expectation of spontaneous passage

Answer

Immediate lithotripsy

Answer

Open surgical removal

Answer

Ureteric stent placement

Answer

Parenteral opioids only

Practice question

A 30-year-old man arrives in A&E with severe flank pain radiating to the groin and haematuria. Ultrasound confirms a 5 mm stone in the ureter. According to NICE, what is the recommended initial conservative management for a ureteric stone of this size?