15th July 2024

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

A 28-year-old woman with 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 (+++). Imaging demonstrates 2 ureteric stones in the distal ureter on the right (7mm each).

She is not keen to stay in hospital, which of the following will aid expulsion of stones?

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