FSP Arztbrief 04: Nierenkolik

Sample Doctor’s Letter (Case 04: Renal Colic / Suspected Ureteral Stone – Daniel Hoffmann, 41 years) – a complete example of an FSP-style medical letter for acute flank pain. It demonstrates a clear structure from salutation and introduction through acute history (sudden severe colicky left flank pain with pain peaks in waves, radiation to left groin and ipsilateral testicle, marked restlessness, no relieving position), vegetative/associated symptoms (pollakisuria, dysuria, reported hematuria, reduced general condition, low fluid intake), past medical history/medication/allergies (previous kidney stones; no regular medication; ibuprofen with insufficient effect), and social and family history (risk factors such as dehydration, high-salt/high-protein diet, smoking; positive family history).

The summary and assessment state urgent suspicion of left ureteral colic due to urolithiasis. Recommended next steps include focused physical exam (costovertebral angle tenderness), renal/urinary tract ultrasound, urinalysis, laboratory tests (renal function, electrolytes, inflammatory markers), adequate analgesia (e.g., metamizole or NSAIDs), and low-dose non-contrast CT abdomen if ultrasound is inconclusive, ending with professional handover to urology.