HISTORY:
for
Onset: , following
Radiation:
Severity: , / 10
Type:
Pattern:
Worsening factors:
Treatments tried: ,
, 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 ultrasound
- CT scan of abdomen
- CT pyeloscan
-
-
-
-
- Keep well hydrated
- Filter urine with coffee filter to catch stone
- Referral to urologist
- Follow-up in
- Return if uncontrolled pain, if new symptoms develop such as fever, or if symptoms persist