A 13-year-old patient presented to the emergency department with a history of abdominal pain and right flank pain. Two days before, she was evaluated at her pediatrician's office and was diagnosed with acute gastroenteritis and sent home. In the emergency department, the patient was diagnosed with ureterolithiasis after a physical examination, laboratory work, and imaging findings. She was treated successfully with conservative medical management. Symptomatic presentation of ureterolithiasis can include abdominal pain, flank pain, hematuria, dysuria, urgency, nausea, and vomiting. Nurse practitioners need to recognize nonspecific symptoms of ureterolithiasis for accurate diagnosis and treatment. Risk factors, signs and symptoms, prevention, and treatment options for ureterolithiasis are discussed.

一名 13 岁的患者因腹痛和右胁痛病史到急诊科就诊。两天前，她在儿科医生办公室接受了评估，被诊断出患有急性肠胃炎并被送回家。在急诊科，经过体格检查、实验室检查和影像学检查，患者被诊断为输尿管结石。通过保守的医疗管理，她得到了成功的治疗。输尿管结石的症状表现包括腹痛、腰痛、血尿、排尿困难、尿急、恶心和呕吐。执业护士需要识别输尿管结石的非特异性症状，以便准确诊断和治疗。讨论了输尿管结石的危险因素、体征和症状、预防和治疗选择。