Problem:
Female patient presents with extreme, acute right-sided lower back pain. She reports that the pain began as a dull ache last evening, but escalated to an intense sharp pain quickly since this morning. The pain radiates in the lower right abdomen. She denies any history of trauma. The patient reports experiencing hematuria a few hours ago. Medical history reveals multiple urinary tract infections, dehydration, Cushing syndrome, and a family history of multiple cancers (breast, prostate, colon). Current vital signs: BP 126/78, HR 76 bpm, Temperature 98.6°F The physician ordered an ultrasound of the right kidney, which identified renal calculi. A CT scan of the kidneys, ureters, and bladder was ordered as a follow-up. Laboratory tests ordered: Complete blood count, urinalysis