Browse categories and answer follow-up questions to refine your symptom profile.
Triage and acuity
Immediate risk screen
Hemodynamic instability
SBP < 90 mmHg
HR > 120 beats/min
Sepsis concern
Fever 38.0 C or higher
Rigors
Altered mental status
Upper tract features
Flank pain
CVA tenderness
Persistent vomiting
Complicated UTI risk
Pregnancy
Male
Indwelling catheter
Recent urologic procedure
Known anatomic abnormality
Nephrolithiasis history
Immunocompromised state
Diabetes with systemic features
Obstruction concern
Anuria
Severe colicky flank pain
Single kidney
Early stabilization triggers
If sepsis concern, IV access and fluids
Isotonic crystalloid 20 mL/kg for hypotension or hypoperfusion
Lactate guided reassessment
If persistent vomiting, antiemetic and IV hydration
Ondansetron 4 mg IV
Metoclopramide 10 mg IV
If severe pain, analgesia
Acetaminophen 1000 mg PO
Ibuprofen 400 mg PO
Time critical escalation
If septic shock features, broad spectrum IV antibiotics within 1 hour
Local antibiogram guided regimen
Source control evaluation for obstruction
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.