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Max, 55 y/o M returned to the clinic 2 months later, due to sudden onset intense pain in his right side and lower back while at his desk at work. Deep breathing helped the pain to subside. That evening he noticed that his urine was dark reddish-brown. During the night the pain returned, and the next morning he made an appointment to see his doctor. During the car journey the pain worsened. He experienced severe pain radiating into his abdomen and groin, accompanied by nausea. The doctor ordered an abdominal x-ray, blood samples and a urinalysis. Visible hematuria was noted and confirmed by urinalysis. After studying the imaging results, the doctor diagnosed a very small (less than 5mm) kidney stone and, given its size and configuration, suggested it would pass in his urine in a day or two. Max was prescribed non-steroidal anti-inflammatory drugs for his pain, advised to rest, and advised to drink four-to-six pints of water every day. The stone passed the next morning and was brought to the doctor. Its composition showed that it was a calcium oxalate stone. Max was advised to continue drinking four-to-six pints of water daily and was also given a list of
SCIENCE
HEALTH SCIENCE
NURSING

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