Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute, severe, colicky flank pain radiating to the groin/suprapubic region. Associated symptoms include nausea, vomiting, and dysuria. No history of fever or chills. Pain is constant with intermittent exacerbations.
Clinical Examination Findings
Abdomen is soft, non-distended. Significant tenderness noted at the costovertebral angle (CVA) on the affected side. Bowel sounds are present. No rebound tenderness or guarding. External genitalia exam unremarkable.
Treatment Protocol
Initiate aggressive fluid resuscitation. Administer NSAIDs (e.g., Ketorolac) for analgesia and antiemetics (e.g., Ondansetron) as needed. Alpha-blockers (e.g., Tamsulosin) prescribed for medical expulsive therapy (MET). Arrange for non-contrast CT KUB to confirm stone size and location.