Flank Pain Questions site radiation character scale out of 10 time questions previous episodes relieving factors medications positions and movements context and aggravating context at onset ask generally movement, eating, ideas, touching etc. associated features fever lumps chills nausea sweating vomit dizziness muscle ache urinary symptoms urethral discharge shortness of breath scrotal pain scrotal redness medications prescription nonprescription past medical history past surgical history family history social history diet alcohol smoking recreational drugs occupational Differentials Pyelonephritis fever chills nausea vomit weakness muscle ache controvertible tenderness urinary symptoms Nephrolithiasis nausea vomit abdominal pain severe pain that is unilateral urinary symptoms pain blood in urine kidney stone history unable to sit still and is moving around frequently epididymis-orchitis fever scrotal pain scrotal redness urinary symptoms testicular torsion nausea vomit scrotal pain abdominal pain scrotal swelling and tenderness. Abnormal position Muscle strain Muscle over use Aching Stiffness Fatigue Muscle twitches -> involuntary muscle contractions Pain worse with movement Tenderness Swelling Spinal issues Spinal arthritis Disc disease Pinched nerve AAA Lower back pain Pulsatile abdominal mass Bruit of auscultation Shingles Pain Burning Throbbing Stabbing Erythematous maculopapular rash involving vesicular lesions Fever Headache Fatigue small bowel obstruction diverticulitis AAA nausea sweating vomiting dizziness abdominal pain SOB Lowe back pain Pulsatile abdominal mass Bruit on auscultation