Browse categories and answer follow-up questions to refine your symptom profile.
Immediate threats
Unstable renal colic presentation
Shock physiology
SBP < 90 mmHg
Lactate >= 2.0 mmol/L
Obstructed infected system
Fever >= 38.0 C
Rigors
Altered mental status
Severe uncontrolled pain
Refractory to parenteral analgesia
Intractable vomiting
Solitary kidney risk
Known single functioning kidney
Kidney transplant
Immediate actions
If shock or sepsis, sepsis pathway
If suspected infected obstruction, immediate urology and decompression planning
Monitoring and targets
Monitoring set
Vital sign frequency
Every 15 minutes if uncontrolled pain or emesis
Continuous pulse oximetry if parenteral opioids
Analgesia targets
Pain score reduction by 2 points within 30 minutes
Functional goal tolerating oral fluids
Renal function risk
Urine output trend
Creatinine delta from baseline
Key decisions early
Early decision points
Infection with obstruction pathway
Broad spectrum antibiotics immediately
Urgent decompression ureteral stent or percutaneous nephrostomy
Consensus based Class I recommendation for urgent decompression in obstructed infected system
Imaging pathway
CT KUB vs ultrasound first strategy based on risk and radiation considerations
Pregnancy ultrasound first
Disposition pathway
Admit if sepsis risk, AKI, refractory symptoms, solitary kidney, or large stone burden
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.