The patient experienced sudden onset of pain on his right flank in the morning. The pain never subsided. He woke up in the middle of the night at 2 AM with same quality of pain. When he urinated, he felt a burning pain in his lower abdomen. He experienced frequent urination and nausea. There was no vomiting, blood in urine, or chills.
Upon examination, he had a clear case of right flank tenderness. Urine showed a tiny blood spec, and a clearly positive microscopic hematuria.
Dr. concluded that he may have had some sort of kidney stone. Dr. ordered a CT along with extra hydration and some exercise. Patient needed to ensure that he filtered his urine to make sure he could find the stone. The patient was also prescribed percocet for th epain. Dr. explained to the patient that it would be extremely painful for the stone to pass. If it was larger than 4mm large it would most likely not pass and would need to be referred to a specialist.
The patient did not look comfortable.
And I hope I never get a kidney stone.
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