Consider if young, otherwise healthy, tolerating PO
Consider admission if:
Elderly (>60)
Renal Calculi
Obstruction
Recent hospitalization/instrumentation
DM
Immunocompromised
Unable to tolerate PO
Pregnancy
Solitary kidney or other anatomic abnormality
Admit all second trimester pregnant patients with OBGYN consult
Urology consult during the inpatient admission for pediatric patients due to the risk for urologic scarring
Consider advanced imaging to rule out abscess of urolithiasis if patient has failed 3 days of therapy
Pyelonephritis
Acute cystitis
Infected kidney stone
Glomerulonephritis
Vascular
Emphysematous pyelonephritis
Abdominal aortic aneurysm
Renal abscess