A 50 year old patient attended with severe head ache restlessness and pain abdomen on examination His BP 190/120. His Blood urea on 29/07/19 was 86.1 and serum creatinine 5.10 mg/dl ultrasound scanning on 20/07/19 shows 8mm stone with severe hydronephrosis and dilatation of right ureter. With OPD management stone expelled and hydronephrosis disappeared and confirmed with ultrasound scanning on 29/07/19.

on 28/08/19 blood urea was 65.1 and serum creatinine 2.53  and on 28/10/19 his blood urea levels were 51 and serum creatinine 1.65. He recovered successfully, compare reports.