A 25 year old male presents with a three hour history of sudden onset severe agonizing pain in the left groin

Question Number 0027
Question:
A 25 year old male presents with a three hour history of sudden onset severe agonizing pain in the left groin. The physician was unable to examine the patient properly because of he was writhing in agony on the examination trolley. There is no medical history of note and urinalysis reveals microscopic hematuria. the most likely diagnosis is
a) ureteric colic
b) transitional cell carcinoma
c) squamous cell carcinoma
d) posterior urethral valves
e) vesico-uereteral reflux


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