症例 challenge · Urology / Emergency · teaching

Renal Colic / Ureteric Stone — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on EAU Urolithiasis

Case #1Urology / Emergency

📋 Case data

Emergency indication?Uncomplicated (suitable for expectant care)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Emergency indication?

Any infection + obstruction / AKI / uncontrolled severe pain?

💡 Ureteric stone obstruction causes radiating flank/abdominal pain + nausea/vomiting + hematuria. Diagnosis: NCCT (CT KUB) is the gold-standard first-line (location/size/density); EAU recommends ultrasound as the initial test (pregnancy/radiation reduction). Spontaneous passage: <5 mm ~75–90%, 5–10 mm ~50%, >10 mm <25% (distal stones pass more easily).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.