Ureteric Colic in a Young Man

Ureteric Colic in a Young Man

Ureteric Colic in a Young Man

Ureteric Colic in a Young Man Ureteric Colic in a Young Man

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Question 1 of 3

1. Question
Which of the following statements is/are true with regard to assessment and pathophysiology of ureteric colic?
- Approximately 50% of small / medium sized renal stones pass spontaneously
- Ureteric stones are associated with hyperparathyroidism, hyperuricosuria, hyperoxaluria and hypocitraturia
- The most common clinial finding in ureterolithiasis is flank pain and tenderness
- Cystine stones arise because of an intrinsic metabolic defect resulting in failure of renal tubular reabsorption of valine and leucine
- Fever is commonly associated with uncomplicated nephrolithiasis
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Question 2 of 3

2. Question
Which of the following statements regarding investigation of this condition is/are true?
- 60% of patients have microscopic haematuria on urine dipstick
- A urine ph >7.6 suggest urea-splitting organisms such as Proteus, Pseudomonas and Klebsiella
- CT scan is more sensitive and specific than any other investigation modality
- In addition to U&E’s, serum Ca, PO4 and urate levels are important investigations
- IVU is the investigation of choice in this patient
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Question 3 of 3

3. Question
Which of the following is/are appropriate urgent interventions for this patient?
- IV hydration
- Oral Tamsulosin
- IV antibiotics
- Admission under urologists
- IV morphine as the first line analgesic agent
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