Question

A 40-year-old man presents with sudden onset severe flank pain radiating to the groin. CT KUB shows a 4 mm distal ureteric stone with no hydronephrosis and normal renal function. He is afebrile. What is the most appropriate initial management?

Accepted Answer

Conservative management with NSAIDs and oral fluids

Answer

Urgent urological surgery

Answer

Immediate nephrostomy tube placement

Answer

Prolonged opioid therapy without NSAIDs

Answer

Long-term allopurinol therapy

Practice question

A 40-year-old man presents with sudden onset severe flank pain radiating to the groin. CT KUB shows a 4 mm distal ureteric stone with no hydronephrosis and normal renal function. He is afebrile. What is the most appropriate initial management?