A 35-year-old male presents to the ER with flank pain. He says that his pain has been increasing and weaning down, and that he didn’t feel better after taking analgesics and decided to come to the ER when he saw blood in his urine. On physical exam, costovertebral angle tenderness is observed. His complete urinal panel shows microscopic hematuria and is leukocytes negative. His blood tests show no sign of infection. On noncontrast CT, an 8mm lower calyceal stone is observed on the left kidney. What is the best treatment method to use for this patient?
A 42-year-old, 70 kg male presents to the ER with fever and intense flank pain radiating to his testis. On physical exam, he has costovertebral angle tenderness. His genital exam shows a normal cremasteric reflex and scrotal tenderness. His urine output is 280 mL/day. Doppler USG shows normal testicular blood flow and no reflux. Abdominal USG shows a 21mm big renal pelvic stone and hydronephrosis. His lab results show high CRP and leukocytes, a creatinine of 1.8 mg/dL and his urinalysis is leukocytes positive with microscopic hematuria. What is the most appropriate next step of management?
What is the recommended next step in a patient with a renal cyst with thick irregular walls and septa that shows contrast enhancement?
Which of the following sperm abnormality and first assisted reproductive technique of choice matches is incorrect?
