Renal papillary necrosis physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{NN}}<br> | |||
==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]]. <ref name="Med2014">{{cite web|title=Renal Papillary Necrosis|url=https://www.nlm.nih.gov/medlineplus/ency/article/000488.htm|website=Medline|publisher=NIH|accessdate=15 October 2015}}</ref> | |||
<ref name="pmid362034">{{cite journal| author=Nanra RS, Stuart-Taylor J, de Leon AH, White KH| title=Analgesic nephropathy: etiology, clinical syndrome, and clinicopathologic correlations in Australia. | journal=Kidney Int | year= 1978 | volume= 13 | issue= 1 | pages= 79-92 | pmid=362034 | doi=10.1038/ki.1978.11 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=362034 }} </ref> | |||
===Appearance of the Patient=== | |||
*Brownish-black appearance due to accumulation of [[phenacetin]] metabolites. | |||
===Vital Signs=== | |||
*[[Fever]] | |||
*[[Tachycardia]] | |||
* [[Hypertension]] | |||
===Skin=== | |||
* [[Pallor]] due to [[anemia]] | |||
* Brownish-black | |||
===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=== | |||
* [[Altered mental status]] | |||
* [[muscle weakness]] | |||
==References== | ==References== | ||
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[[Category:Kidney diseases]] | [[Category:Kidney diseases]] | ||
[[Category:Disease] | [[Category:Disease]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 22:10, 11 August 2020
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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.