Generally speaking, the first page of the case book has its own established format, which varies from place to place. Usually the name and age are written on the cover. Examples of kidney stone cases: 2008-08-08 Main statement: Pain in the left waist for 5 hours. History of current illness: The patient reported that pain in the left waist suddenly appeared 5 hours ago, which was tingling and could not be relieved by activities and bed rest, accompanied by profuse sweating. Past history, personal history, family history: no special auxiliary examination: B-ultrasound showed multiple stones in the left kidney. Urine Rt: red blood cells (++) Diagnosis: multiple stones in the left kidney. Processing: 1. Drink plenty of water. 2. Cefpodoxime proxetil 0.2 Bid Physician’s signature: XXX You can say that there are two small stones, one 0.2mm Just take oral antibiotics at the same time.