, i-Human Case: Flank Pain in Adult
Female
1. Chief Complaint (CC)
“Sharp pain on my right side/back for the past 2 days.”
2. History of Present Illness (HPI –
OLDCARTS)
• Onset: 2 days ago, sudden
• Location: Right flank, radiates to groin
• Duration: Intermittent but worsening
• Character: Sharp, cramping
• Aggravating factors: Movement, urination
• Relieving factors: Minimal relief with OTC pain meds
• Timing: Comes in waves (colicky)
• Severity: 8/10
Associated symptoms:
• Nausea, ± vomiting
• Dysuria
• Urinary urgency/frequency
• Possible hematuria
• No vaginal discharge
3. Differential Diagnoses
Primary Diagnosis
Nephrolithiasis (Kidney Stone)
• Classic flank pain radiating to groin
• Colicky nature
Female
1. Chief Complaint (CC)
“Sharp pain on my right side/back for the past 2 days.”
2. History of Present Illness (HPI –
OLDCARTS)
• Onset: 2 days ago, sudden
• Location: Right flank, radiates to groin
• Duration: Intermittent but worsening
• Character: Sharp, cramping
• Aggravating factors: Movement, urination
• Relieving factors: Minimal relief with OTC pain meds
• Timing: Comes in waves (colicky)
• Severity: 8/10
Associated symptoms:
• Nausea, ± vomiting
• Dysuria
• Urinary urgency/frequency
• Possible hematuria
• No vaginal discharge
3. Differential Diagnoses
Primary Diagnosis
Nephrolithiasis (Kidney Stone)
• Classic flank pain radiating to groin
• Colicky nature
