Hello. I am 3rd year MBBS student. I received this question from my Internal medicine teacher. Patient I., aged 50, was taken by an ambulance to the treatment room of the treatment department with complaints of sharp and sharp pain in the lumbar region, radiating down the abdomen and scrotum. The pain intensifies with the slightest movement and lasts 2-3 hours. Urination during an attack is frequent, difficult, painful. Similar attacks in the last year have been twice. At the end of the attack, red urine appears. Objectively: pallor of the skin. Sharp positive symptom of striking on the right. What could be the disease and why?
On the basis of complaints n red colored urine at the end of the micturation is highly suggestive towards the renal stone.......the stone must have been impacted somewhere at PUJ or VUJ which is responsible for the recurrent episodes of pain (ureteric colic)......to confirm the diagnosis do a USG KUB .....n the treatment will depend upon the size of the renal calculus....if it's less than 6mm it may pass spontaneously otherwise interventional procedure to be done......for managing symptomaticaly keep the pt. Hydrated n give diclofenac (NASID) to control pain n spasm......thanks๐
