Patient presenting with flank pain and fever. Differential included UTI, pyelonephritis, diverticulitis, nephrolithiasis, appendicitis. Also considered but less likely given history and physical exam included constipation, bowel perforation, gastritis, pancreatitis, mesenteric ischemia. Patient febrile and provided with tylenol.

Plan: labs, UA/cx, bedside ultrasound for hydro/stone, ***CT A/P, pain control, reassessment, antibiotics, anticipate admission/discharge