ABSTRACT

History An intravenous urogram (IVU) study is requested on a 41-year-old man who has presented with right flank pain. His symptoms started 3 days ago with a dull pain on his right side just below his ribs, which has remained constant and is not relieved by simple analgesia. He attended his local accident and emergency department last night as the pain woke him from sleep, and a presumptive diagnosis of a right-sided renal stone was made. He was placed on appropriate analgesia.