Renal papillary necrosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nasrin Nikravangolsefid, MD-MPH [2]
Overview
Common physical examination findings of renal papillary necrosis include fever, costovertebral angle tenderness, and hematuria.
Physical Examination
Common physical examination findings of renal papillary necrosis include fever, costovertebral angle tenderness, and hematuria. [1] [2]
Appearance of the Patient
- Brownish-black appearance due to accumulation of phenacetin metabolites.
Vital Signs
Skin
Lungs
- Fine crackles upon auscultation of the lung bases bilaterally in volume overload conditions due to chronic renal failure
Heart
- signs of pericarditis such as friction rub due to uremia
Abdomen
- Abdominal distention in volume overload conditions due to chronic renal failure
Back
- Costovertebral angle tenderness bilaterally or unilaterally
Genitourinary
- Gross hematuria
Extremities
- Pitting edema of the lower extremities in volume overload conditions due to chronic renal failure
Neuromuscular
References
- ↑ "Renal Papillary Necrosis". Medline. NIH. Retrieved 15 October 2015.
- ↑ Nanra RS, Stuart-Taylor J, de Leon AH, White KH (1978). "Analgesic nephropathy: etiology, clinical syndrome, and clinicopathologic correlations in Australia". Kidney Int. 13 (1): 79–92. doi:10.1038/ki.1978.11. PMID 362034.