MDM //

Patient presents with flank pain consistent with previous kidney stone pain. Patient otherwise well-appearing with low suspicion for sepsis, dissection or infected obstructed renal colic. US w/ mild hydronephrosis on affected side_. Low suspicion for atypical appendicitis, torsion, acute chole, or intraabdominal infection. Discussed conservative management, strict return precautions and follow up with urology. Will discharge with Flomax_, NSAIDs, opiates for breakthrough, strainer, and antiemetics. Patient tolerating PO and pain controlled prior to discharge. Strict return precautions for infected stone or PO intolerance discussed. Low suspicion for AKI, obstructive nephropathy given exam and history.



[Back to Main Menu]