06-14-2008, 12:18 PM
A 44-year-old man presents to the emergency department complaining of acute right colicky flank pain with radiation to the right testicle. A plain abdominal film shows no acute disease but a noncontrast computed tomography (CT) scan shows a 2-mm radiolucent stone in the right ureteropelvic region. Serum calcium was 8.9 mg/dL. Aside from pain management and increasing his fluid intake to more than 2 L/d, what is the most appropriate next step in management?
1.prescribe urease inhibitors (acetohydroxamic acid)
2.refer to urology for shock wave lithotripsy
prescribe colchicine
3.prescribe oral sodium citrate and citric acid solution
4.refer to urology for ureteroscopy
1.prescribe urease inhibitors (acetohydroxamic acid)
2.refer to urology for shock wave lithotripsy
prescribe colchicine
3.prescribe oral sodium citrate and citric acid solution
4.refer to urology for ureteroscopy