A 41-year-old man presents to the emergency department with 4 hours of severe, colicky left flank pain radiating to the groin. He has had nausea and vomited once. He is restless and cannot find a comfortable position. He has no past medical history, takes no medications, has no allergies, and has no history of peptic ulcer disease or gastrointestinal bleeding. Urinalysis shows 3+ blood, and nitrites and leukocyte esterase are negative. Creatinine is 82 µmol/L (60-110). Non-contrast CT shows a 7-mm stone in the distal left ureter with mild hydronephrosis.
| Heart rate | 96/min |
| Respiratory rate | 18/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 148/88 mm Hg |
Question 1 of 12
Which of the following are the most appropriate initial management options for this patient?
Select 2. (0 / 2 selected)
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