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11th April 2024
A 56-year-old female presents to the acute medical unit with acute suprapubic and flank pain.
A 56-year-old female presents to the acute medical unit with acute suprapubic and flank pain. She has been unable to pass urine for 12 hours. A CTAP is performed, which shows a distended bladder with right-sided moderate hydronephrosis with a large uterine fibroid in the pelvis. Her blood results are as follows:
| Hb (135 – 180 g/L) | 136 |
| WCC (4.0 – 11.0 * 10^9/L) | 9.8 |
| CRP (<5 mg/L) | 32 |
| Sodium (130 – 146 mmol/L) | 141 |
| Potassium (3.5 – 5.3 mmol/L) | 5.2 |
| Urea (2.5 – 7.8 mmol/L) | 14.6 |
| Creatinine (45 – 84 μmol/L) | 136 |
| eGFR (>90) | 49 |
A urinary catheter is inserted successfully and is draining well. She is haemodynamically stable. Which of the following is the most appropriate next step in management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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