A 29-year-old with a 10 mm proximal ureteral stone and fever 39.2°C, hypotension, and pyelonephritis has obstructive uropathy on imaging. What is the ...

Question

A 29-year-old with a 10 mm proximal ureteral stone and fever 39.2°C, hypotension, and pyelonephritis has obstructive uropathy on imaging. What is the immediate priority?

Accepted Answer

Urgent urinary decompression and IV broad-spectrum antibiotics

Answer

Start oral ciprofloxacin and observe

Answer

Schedule elective ureteroscopy next week

Answer

Increase fluids; strain urine at home

Answer

NSAIDs only for pain control

Urosepsis with Obstruction — MRCEM SBA MCQ

A 29-year-old with a 10 mm proximal ureteral stone and fever 39.2°C, hypotension, and pyelonephritis has obstructive uropathy on imaging. What is the immediate priority?