A 64-year-old male is admitted with moderate to severe flank pain and dysuria. | Medibuddy
26th June 2023

A 64-year-old male is admitted with moderate to severe flank pain and dysuria.

A 64-year-old male is admitted with moderate to severe flank pain and dysuria. He has a history of diabetes mellitus, alcoholic liver disease and previous tuberculosis. He has tried to stop drinking alcohol but admits to a big ‘binge’ last weekend.

Urinalysis: blood 1+, leukocytes 2+, nitrites negative, proteinuria

MSU: awaited

Plain X-ray KUB was normal

Ultrasound KUB showed bilateral hydronephrosis

What is the most likely cause of the patient’s flank pain?

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