24th August 2020

A 56-year-old woman attends A&E with right flank pain, nausea and vomiting

A 56-year-old woman attends A&E with right flank pain, nausea and vomiting. The pain was excruciating and woke her from her sleep. She has been unable to remain still since it began. A urine dip is positive for blood, leukocytes and nitrates. Urgent non-contrast CT of the abdomen and pelvis confirms there is an obstructing renal stone.

What is the most appropriate form of management?

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