Patient presents with symptoms suggestive of ureteral obstruction, including flank pain, colicky pain, hematuria, and nausea.  Onset of pain was [duration] and characterized as [character of pain, e.g., sharp, dull, radiating].  Patient reports [frequency of pain episodes, e.g., constant, intermittent] pain with [exacerbating factors, e.g., movement, hydration status].  Associated symptoms include [list associated symptoms, e.g., urinary frequency, urgency, dysuria, fever, chills].  Medical history significant for [relevant medical history, e.g., nephrolithiasis, kidney stones, urinary tract infection, prior abdominal surgery, malignancy].  Physical examination reveals [relevant physical exam findings, e.g., costovertebral angle tenderness, abdominal distension, palpable mass].  Differential diagnosis includes nephrolithiasis, ureteral stricture, pyelonephritis, and other causes of urinary tract obstruction.  Ordered urinalysis, complete blood count (CBC), basic metabolic panel (BMP), and imaging studies including CT urogram or renal ultrasound to evaluate for hydronephrosis and identify the location and cause of the obstruction.  Preliminary impression is ureteral obstruction, likely secondary to [suspected cause, e.g., calculus, stricture].  Treatment plan includes pain management with [analgesics prescribed], hydration, and close monitoring.  Urology consultation requested for further evaluation and management, including consideration for ureteral stent placement or other interventions as indicated by imaging findings.  Patient education provided regarding signs and symptoms of infection and importance of follow-up.  Will continue to monitor patient's clinical status and adjust treatment plan as needed.