A man has severe loin-to-groin colicky pain and blood in the urine. What is the most likely diagnosis?
Answer and explanation
Correct answer: A. Ureteric colic
- Step 1: The picture of loin-to-groin colic with haematuria fits Ureteric colic.
Answer
Ureteric colic.
Why not the others: 'Acute appendicitis': it gives migrating pain with fever and peritonism. 'Ruptured abdominal aortic aneurysm': it gives pain with shock and a pulsatile mass in older patients. 'Acute pyelonephritis': it gives fever with loin pain and pyuria.
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