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IVP – needs a bowel prep for optimum picture. CT (non contrast) Treatment. Just pain control unless: Pyelonephritis. Solitary Kidney. Bilateral Stones > 10 mm stone (very unlikely to pass) Emergent tx = stent or nephrostomy tube. Urgent tx = ESWL, percutaneous lithotripsy (with lasers), ureteroscopy. Malignancies. Renal Cell Carcinoma ................
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