A fit young woman of 28 years with acute loin pain. She's vitally stable. emergency IVU shows a right moderate hydronephrosis with obstruction of the right ureter caused by an 8-mm stone impacted in the right lower ureter. The imme-diate treatment will be
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midstream urine sample, antibiotics and observe for 48 hours before any further intervention
immediate percutaneous nephrostomy
cystoscopy and the passage of a ureteric catheter to relieve the obstruction
ureteroscopy with endoscopic removal of stone
analgesia and a forced diuresis
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