Diagnosis: left renal colic
Treatment: Inpatient admission
The inpatient admission was not medically necessary.

This female was admitted with left renal colic. Vitals were 98.8-125/87-86. The white blood cell (WBC) count was 11,700. The creatinine was 0.9. Computed tomography (CT) imaging demonstrated an eight millimeter (mm) left proximal ureteral calculus with hydronephrosis. Intravenous (IV) pain medications, nausea medications, IV antibiotics and IV fluids were administered.

The next day, a left ureteral stent was placed. The patient was discharged home. She was afebrile and hemodynamically stable throughout the stay.

An acute inpatient level of care was not medically necessary. Care could have been provided at a lower level of care. The patient was afebrile and hemodynamically stable throughout the hospitalization. There was no significant evidence for sepsis. Following admission, there were no unstable vital signs reported. The patient did not have a documented infection or kidney failure, solitary kidney or a kidney transplant, or need for an open surgery. She did not have bilateral obstruction, acute renal failure, severe vomiting. Pain control, IV antibiotics and IVF followed by stent placement in a non-toxic patient can be provided at a lower level of care.