Pyelonephritis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Vitals
Temperature
- A fever is often present
Abdomen
- Tenderness of the bladder area and the side of the involved kidney ("renal angle tenderness").
Digital rectal examination (DRE)
A DRE is a physical exam of the prostate that is performed in the health care provider’s office. Anesthesia is not needed. To perform the exam, the health care provider asks the person to bend over a table or lie on his side while holding his knees close to his chest. The health care provider slides a gloved, lubricated finger into the rectum and feels the part of the prostate that lies in front of the rectum. Men with suspected pyelonephritis may have a DRE to determine whether a swollen prostate may be obstructing the neck of the bladder.