Horseshoe kidney physical examination: Difference between revisions
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===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with [ | * [[Pulmonary]] examination of patients with [[Hydronephrosis|horseshoe kidney]] usually normal. | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with [ | * [[Cardiovascular]] examination of patients with [[Hydronephrosis|horseshoe kidney]] is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Abdominal tenderness]] | *[[Abdominal tenderness]] | ||
*A lower midline palpable abdominal mass | |||
*A palpable abdominal mass | |||
===Back=== | ===Back=== | ||
* | * [[Costovertebral angle|Costovertebral]] angle [[tenderness]] can be present due to renal stone,infection or hydronephronephrosis | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with [disease name] is usually normal | * Genitourinary examination of patients with [disease name] is usually normal | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with [ | * [[Neuromuscular]] examination of patients with [[Hydronephrosis|horseshoe kidney]] is usually normal. | ||
===Extremities=== | ===Extremities=== |
Revision as of 05:07, 29 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with horseshoe kidney usually appear well and in majority of cases horseshoe kidney is an incidental finding during radiological examination. Physical examination of patients with horseshoe kidney is usually remarkable for abdominal distension, palpable kidney, costovertebral tenderness and palpable bladder.
Physical Examination
Physical examination of patients with horseshoe kidney is usually remarkable for abdominal distension, palpable kidney, costovertebral tenderness and palpable bladder.
Appearance of the Patient
- Patients with horseshoe kidney usually appear well
Vital Signs
- High grade/low grade fever if infection is present
- Tachycardia with a regular pulse because of the fever which is due to infection.
- High blood pressure due to salt retention.
Skin
- Skin examination of patients with horseshoe kidney is usually normal.
-
Description (Adapted from Dermatology Atlas)
-
Description (Adapted from Dermatology Atlas)
HEENT
- HEENT examination of patients with horseshoe kidney usually unremarkable.
Neck
- Neck examination of patients with [disease name] is usually normal.
OR
- Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
Lungs
- Pulmonary examination of patients with horseshoe kidney usually normal.
Heart
- Cardiovascular examination of patients with horseshoe kidney is usually normal.
Abdomen
- Abdominal distention
- Abdominal tenderness
- A lower midline palpable abdominal mass
Back
- Costovertebral angle tenderness can be present due to renal stone,infection or hydronephronephrosis
Genitourinary
- Genitourinary examination of patients with [disease name] is usually normal
Neuromuscular
- Neuromuscular examination of patients with horseshoe kidney is usually normal.
Extremities
- Extremities examination of patients with [disease name] is usually normal.
OR
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity