Kidney Stones
Age: years old
Gender:
HISTORY:
Presents with a - history of
Onset was , started
Radiation to
Rated at / 10
Described as
Pattern
Episodes last for , recur times per
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, episodes , ,
, up to °, over
Contributing factors:
no history of: , , , ,
no family history of:
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Heart: , ,
Lungs: , ,
Abdomen: , , , , bowel sounds , ,
Anorectal: DRE , prostate , , , anus
Pelvic: external genitalia , vagina , cervix , uterus , adnexa ,
Genital: penis , testes and epididymis ,
Skin: on
Thoracic
Lumbar spine: on , range of motion
ASSESSMENT:
DDx: kidney stone, pyelonephritis, urinary tract infection, ureteropelvic junction obstruction, bladder stones, urethral stricture, renal cell carcinoma, glomerulonephritis, interstitial nephritis, diverticulitis, appendicitis, aortic aneurysm, constipation, musculoskeletal pain, herpes zoster, thoracolumbar spine pathology, polycystic kidney disease
PLAN:
Investigations:
- Blood work: , , , , , , , ,
- Urine: , ,
- Abdominal ultrasound
- CT scan of abdomen
- CT pyeloscan
Treatments:
-
-
-
-
- Keep well hydrated
- Filter urine with coffee filter to catch stone
Further care:
- Referral to urologist
- Follow-up in
- Return if uncontrolled pain, if new symptoms develop such as fever, or if symptoms persist
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: