A seven-year old presents to the emergency room with pain radiating to the right testicle. The pain began as a dull ache in the right flank approximately six hours ago while he was sitting at his desk at school. The pain rapidly progressed increasing in intensity steadily over a period of one hour. It was subsequently associated with radiation along the inguinal canal into the groin and the right testicle. This is the first time the patient has experienced these symptoms. He does admit to some nausea and vomiting over the last several hours, but he denies chills, fever, dysuria, or urgency.
KeywordsUric Acid Serum Uric Acid Kidney Stone Calcium Oxalate Urinary Oxalate
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