A 34 year old man had a 4mm ureteric stone which he passed in urine. This time he presents with 3cm stone in the right kidney. Single most appropriate treatment?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:7| Question number:59
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Medicine
The key is E. Operative stone removal.
[Stones < 5mm: pass spontaneously, Increase fluid intake.
Stones 5mm-1cm /pain not resolving: medical expulsive therapy---> Nifedipine or Tamsulosin(and/or
prednisolone).
Stones 1cm-2cm: ESWL or Ureteroscopy using dormia basket.
Stones > 2cm/large/multiple/complex: Percutaneous nephrolithotomy].
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