Ureteral Stone on Renal POCUS
A 23yo male with no significant PMHx presents with acute LLQ pain, N/V, and dysuria. Bladder ultrasound unremarkable. UA shows no evidence of UTI. After you control his pain, what is your next step?
Resolution: DC home (w/ op urology f/u). Note mild-mod hydroneph w/ hydroureter, prox stone,& perinephric fluid likely from a calyceal rupture—not uncommon in setting of renal colic.If pt looks well, pain controlled, & no signs of infection,a CT is not going to change your dispo.
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