A 48-year-old white man presents with unremitting right flank pain. He denies dysuria or fever. He does report significant nausea without vomiting. He has never experienced anything like this before.

A 48-year-old white man presents with unremitting right flank pain. He denies dysuria or fever. He does report significant nausea without vomiting. He has never experienced anything like this before.

  • What is the probable diagnosis?
  • What are other possible diagnoses?
  • At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why?

Please be specific and precise with answers. A table format or bullet points would be beneficial in presenting your information with clarity or organization.

Reference for management of the case study:

http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx

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