Hydronephrosis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
==Abdomen== | ===Abdomen=== | ||
* [[Suprapubic tenderness]] (with or without a history of [[Urinary bladder|bladder]] outflow obstruction) along with a [[palpable]] bladder are strongly suggestive of [[Acute (medical)|acute]] [[urine|urinary]] [[retention]], which left untreated is highly likely to cause hydronephrosis. | * [[Suprapubic tenderness]] (with or without a history of [[Urinary bladder|bladder]] outflow obstruction) along with a [[palpable]] bladder are strongly suggestive of [[Acute (medical)|acute]] [[urine|urinary]] [[retention]], which left untreated is highly likely to cause hydronephrosis. | ||
* Upper urinary tract obstruction is characterised by pain in the [[flank]], often radiating to either the [[abdomen]] or the [[groin]]. Where the obstruction is [[chronic (medicine)|chronic]], [[renal failure]] may also be present. If the obstruction is complete, an enlarged kidney is often [[palpable]] on examination. | * Upper urinary tract obstruction is characterised by pain in the [[flank]], often radiating to either the [[abdomen]] or the [[groin]]. Where the obstruction is [[chronic (medicine)|chronic]], [[renal failure]] may also be present. If the obstruction is complete, an enlarged kidney is often [[palpable]] on examination. | ||
Revision as of 13:45, 28 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Abdomen
- Suprapubic tenderness (with or without a history of bladder outflow obstruction) along with a palpable bladder are strongly suggestive of acute urinary retention, which left untreated is highly likely to cause hydronephrosis.
- Upper urinary tract obstruction is characterised by pain in the flank, often radiating to either the abdomen or the groin. Where the obstruction is chronic, renal failure may also be present. If the obstruction is complete, an enlarged kidney is often palpable on examination.