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You chose to perform a focused physical examination and a urine dipstick and discuss with your supervisor!

Correct! Performing a focused examination and a urine dipstick helps identify potential causes of the pain. Discussing your findings with your supervisor ensures the patient receives appropriate investigations and management

Your examination findings:

• No abdominal tenderness or guarding on palpation.

• Costovertebral angle tenderness (right side) is noted.

• No signs of acute peritonitis.

Urine Dipstick:

• Positive for microscopic haematuria.

• No nitrites or leukocytes.

Discussion with Supervisor:

• You present the case and findings, and you mention her symptoms are suggestive of renal colic. You recommend a referral to secondary care for further investigation is recommended.

Arrange Urgent Referral to Secondary Care:

• Inform the patient and provide reassurance.

• Ensure pain relief is provided (e.g., Naproxen).