IMMEDIATE โ summon senior/resuscitation help as clinically indicated.
๐ Recognise
Fever or sepsis with hydronephrosis/ureteric stone, often flank pain.
๐ First actions
Immediate urology and sepsis management; IV antibiotics and arrange decompression.
๐งช Investigate / reassess
Cultures, renal function, imaging and monitoring.
โ ๏ธ Escalation / pitfalls
Do not discharge or rely on antibiotics alone when infected obstruction is present.
Editorial status: Teaching draft, specialist review required; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.