Q:

A 23 year old man presents with severe pain in the right flank radiating to his groin. He is rolling about on the floor. An IVU confirms a stone in the ureter which is 8mm in size. Which treatment modality will be most effective?

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A 23 year old man presents with severe pain in the right flank radiating to his groin. He is rolling about on the floor. An IVU confirms a stone in the ureter which is 8mm in size. Which treatment modality will be most effective? 


  1. Fluids and alpha blockers
  2. ESWL
  3. CCB
  4. Dormier basket
  5. PCNL

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The key is B. ESWL. [Though for 8 mm stone we can use medical expulsive therapy but for this patient with agonizing pain “most effective” therapy seems to be ESWL]. 

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