A 45-year-old male presents to the emergency department complaining of severe right flank pain radiating to the groin, accompanied by nausea but no vomiting. On examination, the patient appears restless and reports pain exacerbation during movement. Which of the following is the BEST initial management for this patient suspected of having renal calculi?
The administration of intravenous fluids is most appropriate as it helps hydrate the patient, potentially aiding in the passage of the stone while also providing necessary fluid support if the patient is unable to maintain oral intake due to pain or nausea. While pain management and imaging are important, they follow hydration in terms of immediate initial steps, especially in a stable patient who needs symptomatic relief and support for potential stone passage.
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BCEN CEN
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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