Question: Question linked to image nº11 In relation to the treatment of this patient, indicate the correct answer: 
 Options:  <1> It would be necessary to perform evacuation puncture guided by CT of the perinephritic collection and prescribe broad spectrum antibiotic therapy. <2> Urinary diversion is the key in the initial management of cases with hydronephrosis and deterioration of renal function or infection. The definitive treatment will depend on the etiology. <3> Before making therapeutic decisions we must continue the study by abdominal CT. <4> It is an acalculous cholecystitis and requires an urgent cholecystectomy. <5> At present, the level of evidence suggests that non-steroidal anti-inflammatory drugs (NSAIDs) no longer represent the first analgesic step in the treatment of patients with nephritic colic who go to an emergency department.
2