15th July 2024

A 28-year-old woman with poorly controlled T1DM is referred by her GP to the acute medical unit. On arrival

A 28-year-old woman with poorly controlled T1DM is referred by her GP to the acute medical unit. On arrival, she is alert, however complaining of flank pain on the right. She also complains of haematuria for the last 3 days. RR is 22, SpO2 93% OA, HR 120, BP 129/55, Temp 37.7 degrees Celsius. WCC are 12, Hb is 134, CRP is 29. Other blood tests include Na 134, K 4.4, Ur 12, Cr 100, eGFR 55. A urine dip is positive for blood (+++), protein (++), leucocytes (++) and nitrites (+++) and beta-HCG.

You suspect nephrolithiasis, Which of the following is the single most appropriate investigation to obtain a diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.