Kidney stone physical examination

Kidney stone Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Kidney stone from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
Ultrasonography
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Kidney stone physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Kidney stone physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
National Guidelines Clearinghouse
NICE Guidance
FDA on Kidney stone physical examination
CDC on Kidney stone physical examination
Kidney stone physical examination in the news
Blogs onKidney stone physical examination
Directions to Hospitals Treating Kidney stone
Risk calculators and risk factors for Kidney stone physical examination

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 nephrolithiasis usually appear in pain.
• Patients tend to move constantly in order to achieve 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

Costovertebral angle -By Brainmachine, Source:Wikimedia commons

• 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(Murphy's punch sign, Pasternacki's sign, or Goldflam's sign) bilaterally/unilaterally depending upon sides involved.

Genitourinary

• Hematuria

Neuromuscular

• Neuromuscular examination of patients with nephrolithiasis is usually normal.

Extremities

• Extremities examination of patients with nephrolithiasis is usually normal.