nephrology

Clinically the patient presents with nephrolithasis. IV pain medications, antiemetics, and IV fluids were given. A CT Abdomen/Pelvis was obtained for concern for a possible obstructing kidney stone and to rule out other pathologic conditions. The CT confirmed revealed a stone at XXX. The patient's labs were significant for XXX. With pain medication the patient improved significantly. The patient is referred to the on-call urologist for follow up and is discharged with XXX for pain control, +/- Flomax, antiemetics, and given the following return precautions: Fever > 100.5, pain not controlled with narcotics, vomiting or any other concerns and to strain the urine

This patient was found to have an elevated creatinine and may be at risk for contrast induced nephropathy. Discussed risks/benefits with patient, agrees w/ scan. The patient will receive IV hydration prior to the CT scan and immediately after. Will continue to monitor.