A 55-year-old male presents with severe flank pain radiating to the groin associated with nausea and vomiting. Urinalysis reveals hematuria. A plain abdominal film reveals a radiopaque 5 mm stone in the area of the ureterovesical junction. Which of the following statement(s) is/are true concerning this patient’s diagnosis and management?
A. A likely stone composition for this patient would be uric acid
B. The stone will likely pass spontaneously with the aid of increased hydration
C. Stone analysis is of relatively little importance
D. Patients with a calcium oxalate stone and a normal serum calcium level should undergo further extensive metabolic evaluation
Answer:B
A 55-year-old male presents with severe flank pain radiating to the groin associated with nausea and vomiting. Urinalysis reveals hematuria. A plain abdominal film reveals a radiopaque 5 mm stone in the area of the ureterovesical junction. Which of the following statement(s) is/are true concerning this patient’s diagnosis and management?
A. A likely stone composition for this patient would be uric acid B. The stone will likely pass spontaneously with the aid of increased hydration C. Stone analysis is of relatively little importance D. Patients with a calcium oxalate stone and a normal serum calcium level should undergo further extensive metabolic evaluation