Question

40 y/o male presents with sudden severe right flank pain that radiates to the right groin. He also has nausea, vomiting, frequency, urgency, and cannot sit still. What is the most likely diagnosis and what imaging should be ordered?

Answer 1

The most likely diagnosis for the symptoms described is renal calculi (kidney stones). Imaging should be ordered to confirm the diagnosis.

Step-by-step explanation:

The most likely diagnosis for a 40-year-old male experiencing sudden severe right flank pain that radiates to the right groin, along with nausea, vomiting, frequency, urgency, and restlessness is renal calculi, commonly known as kidney stones. Kidney stones can cause obstruction of the ureter, leading to severe episodic pain in the flank, lower abdomen, and groin. The pain can be accompanied by nausea and vomiting due to the association of the kidneys with the intestinal tract and hematuria (bloody urine) due to damage to the urinary tract lining.

To confirm the diagnosis, imaging should be ordered. The most commonly used imaging modalities for kidney stones are CT scan (computed tomography) and ultrasound. CT scan provides detailed information about the size and location of the stones, while ultrasound is useful for detecting the presence of stones and any associated complications.