The patient was had a past medical history significant for kidney stones and sigmoid diverticulosis who presented to the emergency department with a one-day history of left lower quadrant abdominal pain with no complaints of diarrhea, nausea or vomiting. At the time of admission, the patient rated his pain as 5/10 in severity, it was non-radiating. The pain was aggravated by palpation with no alleviating factors. The pain was associated with mild dysuria. His physical exam was reassuring, there was no evidence of dehydration or significant electrolyte abnormalities based on the results of the laboratory studies. The acute inpatient level of care admission was not medically necessary. Treatment at a lower level of care would have been the most appropriate in this clinical case to ensure improvement in the symptoms after initiation of the treatment.