رجل عمره ٣٨ سنة يعمل في الشمس، جاء بألم شديد متموج في الخاصرة اليسرى ينتشر للخصية، ولا يستطيع الجلوس بهدوء، مع غثيان. البول فيه دم. الحرارة ٣٧٫٠، والضغط ١٥٠/٩٢. ما الحالة الأرجح؟

A 38-year-old man who works outdoors in the sun has severe colicky left flank pain radiating to the testicle, cannot keep still, and is nauseated. Urine shows blood. T 37.0 °C, BP 150/92. What is the most likely condition?

1. Renal colic from a ureteric stone
2. Acute testicular torsion
3. Acute pyelonephritis
4. A leaking abdominal aortic aneurysm

Answer: A) Renal colic from a ureteric stone. Severe colicky pain from flank to groin with restlessness and haematuria indicates a ureteric stone; dehydration and heat are risk factors. Analgesia and imaging are needed.