Question 236 · LEK · Urolithiasis

A 57-year-old patients came to the emergency room due to strong pain in the lumbar region lasting for two days and radiating to the right groin, with nausea, vomiting, with no fever. The urinalysis revealed proteinuria - 0.1 mg/dl, haematuria, and 6-8 white blood cells in the field of view. The most likely cause of these symptoms is:

  1. A. acute pyelonephritis.
  2. B. acute glomerulonephritis.
  3. C. renal colic caused by urolithiasis.
  4. D. cystitis.
  5. E. IgA nephropathy.
Hint

Severe colicky flank pain radiating to the groin, with haematuria and no fever, has a classic mechanical cause.

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