Which symptom is NOT typically associated with renal calculi?

Which symptom is NOT typically associated with renal calculi?

• A. Pain radiating to the groin
• B. Unilateral flank pain
• C. Hematuria
• D. Fever

Answer: (D)

Renal calculi typically present with sudden, severe unilateral flank pain that may radiate to the groin, and there is often blood in the urine from irritation of the urinary tract. Fever, however, is not part of the usual stone picture and should raise concern for an infectious complication such as pyelonephritis or an infected obstructing stone. Infections with stones are emergencies, so fever is not a typical symptom of uncomplicated stones but signals a risky situation that needs urgent evaluation and treatment.

Renal calculi typically present with sudden, severe unilateral flank pain that may radiate to the groin, and there is often blood in the urine from irritation of the urinary tract. Fever, however, is not part of the usual stone picture and should raise concern for an infectious complication such as pyelonephritis or an infected obstructing stone. Infections with stones are emergencies, so fever is not a typical symptom of uncomplicated stones but signals a risky situation that needs urgent evaluation and treatment.