Renal agenesis physical examination

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Physical Examination

URA have an increased incidence of proteinuria, hypertension, and renal insufficiency. Therefore, patients, even those with normal solidary kidney, should be followed up with: (argueso) (Xu)

• Blood pressure
  • Check for hypertension

• Urinalysis
  •  Proteinuria
  • Hematuria
  • Renal insufficiency
  • Hyperuricemia

URA may be isolated or associated with other anomalies and malformations. Therefore, screening and checking for other contralateral congenital anomaly of kidney or urinary tract (CAKUT) and extra-renal anomalies should be considered when URA is diagnosed. The following may be important to consider in the physical exam of URA: (laurich) (westland)

• Urinary tract
  • Associated CAKUT
    • VUR
    • PUJO
    • PUV
    • Duplex kidney
    • Ureterocele
    • Megaureter

• • Urinary tract infection

• Associated extra-renal anomalies
  • Skull
  • Spine
  • Skeleton
  • Face
  • Thorax
  • Heart
  • Lung
  • Genital tract
    • Female tract anomalies