Q:

A 2 year old patient presents with colicky pain which radiates from loin to groin. He complains of similar episodes in the past. Investigation has been done and 7mm stone was found in the ureter. What is the most appropriate management?

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A 2 year old patient presents with colicky pain which radiates from loin to groin. He complains of similar episodes in the past. Investigation has been done and 7mm stone was found in the ureter. What is the most appropriate management? 


  1. Percutaneous nephrolithotomy
  2. Open surgery
  3. Ureteroscopy or laser
  4. Conservative tx
  5. ESWL

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The key is E. ESWL. [Given its minimally invasive features, extracorporeal shock wave lithotripsy (ESWL) has become a primary mode of treatment for the pediatric patients with reno-ureteral stones]. 

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