Which management is urgent for an obstructed infected kidney with pyonephrosis?
Answer and explanation
Correct answer: B. Urgent decompression by nephrostomy or stent
- Step 1: Infected obstruction is a urological emergency.
- Step 2: Drainage comes before definitive stone treatment.
Answer
Urgent decompression by nephrostomy or stent.
Why not the others: 'Oral antibiotics and review in 1 week' is unsafe; 'Lithotripsy immediately to clear the stone' risks sepsis; 'Observation and review only' is unsafe.
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