Question 287 · LEK · Urolithiasis
The parents checked at evening hours into emergency dept. with a 12-year-old son who suffered from nausea, vomiting, pain during micturition that radiated to the left groin area, and left lumbar pain since morning. On physical examination, tenderness in the abdominal area and positive Goldflam syndrome on the left side were noted. Laboratory test results revealed normal blood cell count and kidney function, increased CRP, and erythrocyturia in urinalysis. Abdomen ultrasound showed left-sided hydronephrosis. The left ureter was not visible. The right diagnosis is:
- A. urinary system stones.
- B. acute pyelonephritis.
- C. rapidly progressive glomerulonephritis.
- D. peritonitis.
- E. SARS-CoV-2 infection.
Hint
Combine colicky flank pain radiating to the groin with haematuria and a dilated collecting system above a ureter that cannot be visualised.
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