A 48-year-old man presents with sudden-onset severe colicky loin-to-groin pain and visible haematuria. He is restless but haemodynamically stable. Wha...

Question

A 48-year-old man presents with sudden-onset severe colicky loin-to-groin pain and visible haematuria. He is restless but haemodynamically stable. What is the most appropriate initial management in the emergency department?

Accepted Answer

Start strong opioid analgesia and NSAIDs, arrange urgent non-contrast CT KUB

Answer

Arrange elective intravenous urogram as an outpatient

Answer

Reassure and discharge with paracetamol only

Answer

Admit under surgery for immediate laparotomy

Answer

Prescribe antibiotics only

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

A 48-year-old man presents with sudden-onset severe colicky loin-to-groin pain and visible haematuria. He is restless but haemodynamically stable. What is the most appropriate initial management in the emergency department?