Question 497 · LEK · Urolithiasis

A 40-year-old male complains of colic-type pain located in his right lumbar region radiating to the right inguinal region, accompanied with microhematuria (erythrocyturia) found in laboratory tests. The imaging study of choice is:

  1. A. abdominal ultrasound.
  2. B. retroperitoneal ultrasound.
  3. C. abdominal CT without contrast enhancement.
  4. D. retrograde pyelography.
  5. E. abdominal X-ray in standing position.
Hint

Colicky flank pain spreading to the groin with haematuria suggests a stone; choose the test that is most sensitive for stones of any composition.

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