A US member was in Turks and Caicos when he developed severe pain in his right-side in addition to nausea, vomiting and blood in the urine. The symptoms were consistent with the member’s history of kidney stones. Due to persistent symptoms and inability to tolerate fluids, he was transported to a hospital for evaluation. Imaging identified a small kidney stone expected to pass without intervention. He was treated with pain medication and discharged with instructions for symptom monitoring.