Clinic note

Chief Complaint: Patient presents to the Emergency Department with acute onset of severe left flank pain, radiating to the groin, accompanied by nausea and vomiting. The patient reports feeling a sharp, stabbing pain that began approximately 4 hours prior to arrival. There is no fever or chills reported. Past Medical History: * Hypertension * Benign Prostatic Hyperplasia (BPH) * Previous kidney stone (right kidney, 2021) * Appendectomy (2010) * Medications: Amlodipine 5mg daily, Tamsulosin 0.4mg daily * Allergies: NKDA Investigations: * Urinalysis: Positive for hematuria, few WBCs * CT KUB: 6mm stone in the proximal left ureter, mild hydronephrosis. Assessment: Acute left ureteral colic secondary to nephrolithiasis. Plan/Treatment: * Administered IV fluids (1L Normal Saline). * Administered IV Ketorolac 30mg for pain control. * Administered IV Ondansetron 4mg for nausea. * Patient to be admitted for pain management and further evaluation. * Urology consult requested. * Repeat CT KUB in 24 hours. * Discharge instructions: Patient to follow up with urology in 2 weeks for stone management plan.