Kidney stone physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
* Physical examination of patients with | *Physical examination of patients with nephrolithiasis is usually remarkable for | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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===Vital Signs=== | ===Vital Signs=== | ||
*High-grade / low-grade fever | *High-grade / low-grade fever. | ||
*[[Tachycardia]] with regular pulse can be seen secondary to pain | *[[Tachycardia]] with regular pulse can be seen secondary to pain. | ||
*[[Tachypnea]] can be seen | *[[Tachypnea]] can be seen. | ||
===Skin=== | ===Skin=== | ||
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* HEENT examination of patients with nephrolithiasis is usually normal. | * HEENT examination of patients with nephrolithiasis is usually normal. | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with | * Neck examination of patients with nephrolithiasis is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with nephrolithiasis is usually normal. | * Pulmonary examination of patients with nephrolithiasis is usually normal. | ||
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===Abdomen=== | ===Abdomen=== | ||
*Hypoactive bowel sounds as seen in ileus due to severe pain | *Hypoactive bowel sounds as seen in ileus due to severe pain | ||
*Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test | *Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test | ||
Revision as of 19:30, 7 June 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- Physical examination of patients with nephrolithiasis is usually remarkable for
Appearance of the Patient
- Patients with nephrolithiaisis usually appear in pain.
- Patients tend to move constantly in order to achieve a a comfortable position.
Vital Signs
- High-grade / low-grade fever.
- Tachycardia with regular pulse can be seen secondary to pain.
- Tachypnea can be seen.
Skin
- Skin examination of patients with nephrolithiasis is usually normal.
HEENT
- HEENT examination of patients with nephrolithiasis is usually normal.
Neck
- Neck examination of patients with nephrolithiasis is usually normal.
Lungs
- Pulmonary examination of patients with nephrolithiasis is usually normal.
Heart
- Cardiovascular examination of patients with nephrolithiasis is usually normal.
Abdomen
- Hypoactive bowel sounds as seen in ileus due to severe pain
- Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
Back
- Costovertebral angle tenderness bilaterally/unilaterally depending upon sides involved.
Genitourinary
- Genitourinary examination of patients with [disease name] is usually normal.
OR
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Neuromuscular examination of patients with nephrolithiasis is usually normal.
Extremities
- Extremities examination of patients with nephrolithiasis is usually normal.