Final answer:
Diarrhea is not typically a symptom associated with kidney stones or renal colic, which can cause severe flank pain. Hematuria, nausea, and vomiting are the other symptoms expected with this condition.
Step-by-step explanation:
The question is addressing the expected signs and symptoms associated with a medical condition that may cause severe flank pain in a 52-year-old woman. Severe flank pain can be indicative of a few different medical issues, one of which could be renal colic typically related to kidney stones. Renal colic is known for its association with hematuria (blood in the urine), and due to the embryological association of the kidneys with the intestinal tract, it can also present with nausea and vomiting.
However, diarrhea is not typically a symptom seen with renal colic or kidney stones. Although it can be a symptom of gastrointestinal issues, it wouldn't be a direct result of a condition causing flank pain from a urological perspective such as kidney stones. Therefore, option A, Diarrhea, is NOT an expected sign or symptom of severe flank pain associated with renal colic or kidney stones and is the correct answer to the question.