Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe, colicky flank pain radiating to the groin/suprapubic region. Associated symptoms include urinary urgency, frequency, dysuria, and hematuria. No fever, chills, or signs of systemic sepsis. Pain intensity is [X]/10, partially relieved by [medication]. No history of prior urolithiasis or recent trauma.
Clinical Examination Findings
Vitals stable. Abdominal exam reveals tenderness at the left/right costovertebral angle (CVA). No rebound tenderness or guarding. Bladder is non-distended. External genitalia exam unremarkable. No evidence of inguinal hernia.
Treatment Protocol
Plan: Medical Expulsive Therapy (MET) initiated with [Tamsulosin 0.4mg daily]. Analgesia provided with [NSAIDs/Acetaminophen]. Hydration encouraged (2-3L/day). Patient instructed to strain urine to capture stone for analysis. Follow-up imaging (KUB/CT) scheduled in [X] weeks if stone not passed. Urgent return if fever, intractable vomiting, or worsening pain occurs.