Emergency · Explanation & counselling

Kidney stone options

Medium

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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H G V V

2 min reading · 10 min station · reminders at 2 min

Instructions

You are an intern in the emergency department. Karim Haddad, 41, came in overnight with severe right loin pain, now settled with treatment. The urology registrar has reviewed his results and says he can choose between trying to pass the stone or having it removed.

  1. Explain the CT result to Mr Haddad and agree a plan

  • You do not need to take a history or examine the patient

CT KUB

7 mm stone right distal ureter; mild hydronephrosis; left kidney normal.

Bloods and urine

Creatinine 84; WCC 8.1; urine blood present, no nitrites or leucocytes.

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