Pyonephrosis physical examination

Pyonephrosis Microchapters
Home
Patient Information
Overview
Pathophysiology
Causes
Epidemiology and Demographics
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Ultrasound
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
Pyonephrosis physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Pyonephrosis physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pyonephrosis physical examination
CDC on Pyonephrosis physical examination
Pyonephrosis physical examination in the news
Blogs on Pyonephrosis physical examination
Directions to Hospitals Treating Pyonephrosis
Risk calculators and risk factors for Pyonephrosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Harsh Vardhan Chawla, M.B.B.S.[2]

Physical Examination

The following features can be found during a physical examination of a patient with pyonephrosis with the patient lying in supine position.

Appearance of the Patient

• A patient with pyonephrosis is usually in distress.
• Patient may have hands on abdomen or back at the area of tenderness.

Vital Signs

• Fever may be present
• High blood pressure
• Hypotension

Skin

• Skin examination of patients with pyonephrosis is usually normal.

HEENT

• HEENT examination of patients with pyonephrosis is usually normal.

Neck

• Neck examination of patients with pyonephrosis is usually normal.

Lungs

• Pulmonary examination of patients with pyonephrosis is usually normal.

Heart

• Tachycardia

Abdomen

• Costovertebral angle tenderness
• Positive sonopalpation test of the kidney
• Suprapubic tenderness

Digital rectal examination (DRE).

• DRE helps to differentiate if the obstruction is due to obstruction due to an enlarged prostate gland in men.

Back

• Costovertebral angle tenderness

Genitourinary

The following findings may be found on genitourinary examination of a patient with pyelonephritis:

• Suprapubic tenderness
• Examination of the scrotum and the pubic area must be done

Neuromuscular

• Patient is usually oriented to persons, place, and time.

Extremities

• Extremities examination of patients with pyonephrosis is usually normal.