HISTORY:
flank pain for
Onset: , following
Radiation:
Severity: , / 10
Type:
Pattern:
Worsening factors:
Treatments tried: ,
, episodes , ,
, episodes ,
, up to °, over
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Heart: ,
Lungs: ,
Abdomen: , , ,
CVA tenderness:
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
Genital: , testicles , penis
Skin:
Thoracic
Lumbar spine: on , range of motion
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , , , ,
- Urine: ,
- Abdominal X-ray
- Abdominal ultrasound
- CT scan of abdomen and pelvis
- Cystoscopy
-
-
-
- Referral to urologist
- Referral to nephrologist
- Follow-up in
- Return if pain worsens, if new symptoms develop such as fever, hematuria, or vomiting, or if symptoms do not improve with treatment
- Go to ER if severe pain or sudden onset of symptoms occurs