Kamsi
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A 39-year-old male carpenter presents to the emergency department with a 4-hour history of gradually worsening right flank and right upper quadrant pain radiating to the right lower quadrant and into the right testicle. He vomits once shortly after arrival. He does not have fever or chills but has mild dysuria.
On examination, the patient is restless because of pain. Blood pressure is 145/89 mm Hg, pulse rate is 92/min, and temperature is 37 °C (98.6 °F). Abdominal examination reveals mild right costovertebral angle tenderness, but no abdominal guarding. Genitalia are normal. The serum creatinine concentration is 0.9 mg/dL. Urinalysis shows a specific gravity of 1.025, 3+ hematuria, no proteinuria. Urine microscopy reveals more than 50 erythrocytes/hpf, 3 to 5 leukocytes/hpf, and occasional calcium oxalate crystals. You suspect that a renal stone is causing the colicky pain and hematuria.
What radiologic procedure is best to confirm the diagnosis?
A. Plain radiography of the abdomen
B. Intravenous pyelography
C. Renal ultrasonography
D. Noncontrast spiral computed tomography
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| darkhorse
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dddd
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When going gets tough, the tough gets going
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| cool doctor
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d
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| sprint123
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 ...But, is the asnwer A when the question asks next step in management?
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| neuroblastoma
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Yes BEST CONFIRMED WITH CT we can see all types of stones(even transulents)
intial would be XRAY for ca oxalates
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| Kamsi
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D is d right answer
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