Patient presents with complaints consistent with renal calculi, including acute flank pain radiating to the groin, hematuria, nausea, and vomiting.  Severity of pain fluctuates and is described as sharp, stabbing, or colicky.  Onset of symptoms occurred [Date/Time].  Patient reports [Frequency] episodes of similar pain in the past.  Medical history significant for [Relevant medical history e.g., hypertension, diabetes, gout, hyperparathyroidism, prior kidney stones].  Family history includes [Family history of kidney stones].  Physical examination reveals [Findings e.g., costovertebral angle tenderness, restlessness].  Urinalysis shows [Urinalysis results e.g., microscopic hematuria, crystals].  Imaging studies, including [Imaging modality e.g., CT scan without contrast, KUB x-ray], confirm the presence of [Number] kidney stone(s) located in the [Location e.g., right ureter, left kidney] measuring [Size] mm.  Differential diagnoses include pyelonephritis, appendicitis, and other causes of abdominal pain.  Assessment: Nephrolithiasis, likely [Stone type if known e.g., calcium oxalate].  Plan: Pain management with [Medication e.g., NSAIDs, opioids].  Patient is advised to increase fluid intake.  Strain all urine.  [Treatment plan e.g., Observation, medical expulsive therapy, lithotripsy, ureteroscopy] will be considered based on stone size and location.  Follow-up scheduled in [Duration] to assess stone passage and symptom resolution.  Patient education provided on kidney stone prevention, including dietary modifications and increased hydration.  ICD-10 code: [ICD-10 code e.g., N20.0].