Acute Renal Colic from Ureteral Calculus

作者: Joel M.H. Teichman

DOI: 10.1056/NEJMCP030813

关键词: Acute Renal ColicRenal colicMicrohematuriaKidney stonesCalculus (medicine)UreterMedicinePenisSurgeryUreteral calculusGeneral Medicine

摘要: A 39-year-old man reports an eight-hour history of colicky pain in the right lower quadrant radiating to tip his penis. He had previously a kidney stone, which passed spontaneously. Examination shows he has tenderness costovertebral angle and quadrant. Urinalysis microhematuria. Helical computed tomography 6-mm calculus distal ureter mild hydroureteronephrosis. How should this patient be treated?

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