Mr. D complains to his doctor of severe pain in his side that travels to his groin and that he feels the need to urinate frequently, sometimes not making it the bathroom in time. He states that the pain can be so intense that it triggers nausea. After physical examination and review of Mr. D's history, his doctor orders an imaging test, which reveals two small masses in the proximal ureter. What is the doctor's diagnosis

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.