6 Hours Of Sudden in Pediatrics — 9yo Child | Pediatric Nephrology | SMLE Q#18944

SMLE Question #18944

Pediatrics Pediatric Nephrology

Objective: OBJ-NEPH-IMAGING-001

Last updated: March 2026
A 9-year-old boy presents to the emergency department with 6 hours of sudden right flank pain radiating to the groin and visible hematuria. He is nauseated but has no dysuria. Examination shows right costovertebral angle tenderness; the abdomen is soft with no guarding. Urinalysis suggests hematuria without evidence of infection. Nephrolithiasis is suspected. What is the best initial diagnostic imaging test?

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