What is the most appropriate next investigation for a 52-year-old male with red urine and right flank pain?
Understand the Problem
The question is asking which investigation is most appropriate to perform next for a patient who is experiencing red urine and right flank pain based on the given clinical information and urine analysis results.
Answer
A CT scan of the abdomen and pelvis.
The final answer is a CT scan of the abdomen and pelvis.
Answer for screen readers
The final answer is a CT scan of the abdomen and pelvis.
More Information
For a 52-year-old male with red urine and right flank pain, suggestive of a possible obstruction such as by kidney stones, a CT scan of the abdomen and pelvis is a common and appropriate imaging technique. It is effective in diagnosing stones, tumors, or other abnormalities.
Tips
A common mistake is opting for urine cytology immediately, which is more suitable when ruling out malignancies, rather than situations suggestive of stones or obstructions.
Sources
- Urolithiasis presenting as right flank pain: a case report - PMC - pmc.ncbi.nlm.nih.gov
- Assessment of Microscopic Hematuria in Adults - AAFP - aafp.org
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