Hydronephrosis physical examination

Hydronephrosis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Hydronephrosis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
CT
MRI
Echocardiography or 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
Hydronephrosis physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Hydronephrosis 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 Hydronephrosis physical examination
CDC on Hydronephrosis physical examination
Hydronephrosis physical examination in the news
Blogs on Hydronephrosis physical examination
Directions to Hospitals Treating Hydronephrosis
Risk calculators and risk factors for Hydronephrosis physical examination

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

Overview

Patients with hydronephrosiscomplain presence of pain based on the site of the obstruction and the degree of the obstruction. Patients commonly present with abdominal distension, palpable kidney, costovertebral tenderness and palpably bladder may be seen.

Physical Examination

Physical examination of patients with hydronephrosisis usually remarkable for abdominal distension, palpable kidney, costovertebral tenderness and palpable bladder

The appearance of the patients with hydronephrosis usually appear normal. Vital Signs High-grade / low-grade fever when positive for infection. 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 hydronephrosisis usually normal.

HEENT

• HEENT examination of patients with hydronephrosisis usually unremarkable.

Neck

• Neck examination of patients with hydronephrosisis usually normal.

Lungs

• Pulmonary examination of patients with hydronephrosisis usually normal.

Heart

• Cardiovascular examination of patients with hydronephrosis is usually normal.

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

• Abdominal distention.
• A palpable distended bladder is noted
• Kidney may be palpable in some cases

Back

• Costovertebral angle tenderness on the affected side is seen

Genitourinary

• Rectal examination should be performed in patients with hydronephrosis to assess
  • Sphincter tone
  • Prostate

Neuromuscular

• Neuromuscular examination of patients with hydronephrosis is usually normal.

Extremities

• lower extremity edema may occur when hydronephrosis is bilateral.