Q:

A 60 year old man presents with severe colicky pain from his right flank radiating to his groin. His urinalysis reveals trace blood cells. What is the single most discrimatory investigation?

waelhammad
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2022-11-01
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A 60 year old man presents with severe colicky pain from his right flank radiating to his groin. His urinalysis reveals trace blood cells. What is the single most discrimatory investigation? 

  1. US abdomen
  2. XR KUB
  3. Colonoscopy
  4. Upper GI endoscopy
  5. Laproscopy
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waelhammad
2022-11-01
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The key is A. US abdomen. [Features are of ureteric colic. X-ray KUB may miss radiolucent stones so US abdomen is the discriminatory investigation]. 

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