Urologist Template

Kidney Stone Follow-Up

A professional Urologist template for healthcare professionals.

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Specialty

Urologist

Used

61 times

Type

Note

Last edited

1/9/2026

Created by

Yekutiel Sandman

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About this template

This Kidney Stone Follow-Up template is designed for urologists to efficiently document follow-up visits for patients with kidney stones. It includes sections for current imaging results, symptom assessment, past stone history, and a detailed assessment and plan. The template also provides specific instructions for stone prevention. This template is ideal for urologists looking for a comprehensive and structured way to document kidney stone follow-up visits, ensuring all critical information is captured. Use this template to streamline your documentation process and improve patient care.

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HPI Current imaging demonstrates a stone burden with a 6mm stone located in the left renal pelvis, 1200 Hounsfield Units, and a skin to stone distance of 10cm. The patient currently reports intermittent left flank pain and occasional urinary urgency. No blood in urine has been noted. Past Stone History Calcium oxalate stone Underwent lithotripsy in 2019 CT scan in 2019 showed a 5mm stone in the left kidney Past Medical History Hypertension, Hyperlipidemia Assessment and Plan The patient has a 6mm stone in the left renal pelvis with intermittent symptoms of flank pain and urinary urgency. Imaging confirms the stone parameters. Surgical options include ureteroscopy or shock wave lithotripsy. Instructions for Stone Prevention I suggested copious hydration, avoid excessive animal protein, salt and refrain to the greatest degree possible from colas and cheese.