Patient presents with acute onset of severe, intermittent, colicky flank pain radiating to the groin, consistent with renal colic.  Symptoms began approximately [duration] ago and are described as [quality of pain - e.g., sharp, stabbing, cramping].  Pain severity is rated [pain scale 0-10].  Associated symptoms include [list associated symptoms e.g., nausea, vomiting, hematuria, urinary frequency, urgency, dysuria].  Patient denies fever, chills, or rigors.  Medical history significant for [list relevant medical history e.g., nephrolithiasis, kidney stones, urinary tract infection, hypertension, diabetes].  Surgical history includes [list relevant surgical history].  Medications include [list current medications].  Allergies include [list allergies].  Physical examination reveals [describe relevant physical exam findings e.g., costovertebral angle tenderness, abdominal tenderness, no palpable masses].  Vital signs: temperature [temperature], heart rate [heart rate], blood pressure [blood pressure], respiratory rate [respiratory rate], oxygen saturation [oxygen saturation].  Differential diagnosis includes nephrolithiasis, ureterolithiasis, urinary tract infection, pyelonephritis, appendicitis, ovarian torsion, musculoskeletal pain.  Preliminary diagnosis is renal colic likely secondary to nephrolithiasis.  Ordered urinalysis, complete blood count, basic metabolic panel, and non-contrast CT scan of the abdomen and pelvis to evaluate for urinary tract obstruction and identify the cause of colic.  Treatment plan includes pain management with intravenous or intramuscular analgesics (e.g., ketorolac, morphine), antiemetics if indicated, and intravenous fluids for hydration.  Patient education provided on the importance of increasing fluid intake and following up with urology for definitive management if imaging confirms nephrolithiasis.  Patient will be monitored for improvement in pain and resolution of symptoms.  Further management will be determined based on imaging results and urology consultation.