Horseshoe kidney physical examination: Difference between revisions
No edit summary |
|||
(3 intermediate revisions by 2 users not shown) | |||
Line 8: | Line 8: | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with horseshoe kidney is usually remarkable for [[abdominal distension]], [[palpable]] kidney, [[Costovertebral angle|costovertebral]] tenderness and palpable [[bladder]].<ref name="SingerSimmons2008">{{cite journal|last1=Singer|first1=Amy|last2=Simmons|first2=Marc Z.|last3=Maldjian|first3=Pierre D.|title=Spectrum of congenital renal anomalies presenting in adulthood|journal=Clinical Imaging|volume=32|issue=3|year=2008|pages=183–191|issn=08997071|doi=10.1016/j.clinimag.2007.12.001}}</ref> | Physical examination of patients with horseshoe kidney is usually remarkable for [[abdominal distension]], [[palpable]] kidney, [[Costovertebral angle|costovertebral]] tenderness and palpable [[bladder]].<ref name="SingerSimmons2008">{{cite journal|last1=Singer|first1=Amy|last2=Simmons|first2=Marc Z.|last3=Maldjian|first3=Pierre D.|title=Spectrum of congenital renal anomalies presenting in adulthood|journal=Clinical Imaging|volume=32|issue=3|year=2008|pages=183–191|issn=08997071|doi=10.1016/j.clinimag.2007.12.001}}</ref><ref name="pmid28613757">{{cite journal |vauthors=Kirkpatrick JJ, Leslie SW |title= |journal= |volume= |issue= |pages= |date= |pmid=28613757 |doi= |url=}}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with horseshoe kidney usually appear well | *Patients with horseshoe kidney usually appear well. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* High grade/low grade fever if infection is | * High grade/low grade fever if infection is presen. | ||
* [[Tachycardia]] with a regular pulse because of the fever which is due to infection. | * [[Tachycardia]] with a regular pulse because of the fever which is due to infection. | ||
* [[High blood pressure]] due to salt retention. | * [[High blood pressure]] due to salt retention. | ||
Line 20: | Line 20: | ||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with horseshoe kidney is usually normal. | * Skin examination of patients with horseshoe kidney is usually normal. | ||
===HEENT=== | ===HEENT=== | ||
Line 37: | Line 33: | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]]. | ||
*[[Abdominal tenderness]] | *[[Abdominal tenderness|Abdominal tenderness.]] | ||
*A lower | *A lower mid-line palpable abdominal mass. | ||
===Back=== | ===Back=== | ||
* [[Costovertebral angle|Costovertebral]] angle [[tenderness]] can be present due to renal stone,infection or | * [[Costovertebral angle|Costovertebral]] angle [[tenderness]] can be present due to renal stone, infection or [[hydronephrosis]]. | ||
===Genitourinary=== | ===Genitourinary=== | ||
*[[Rectal]] examination should be performed in patients with [[hydronephrosis]] to assess | *[[Rectal]] examination should be performed in patients with [[hydronephrosis]] to assess: | ||
** [[Sphincter]] tone | ** [[Sphincter]] tone | ||
** [[Prostate]] | ** [[Prostate]] | ||
Line 52: | Line 48: | ||
===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with horseshoe kidney is usually normal | * Extremities examination of patients with horseshoe kidney is usually normal. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Latest revision as of 20:34, 23 January 2019
Horseshoe kidney Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Horseshoe kidney physical examination On the Web |
American Roentgen Ray Society Images of Horseshoe kidney physical examination |
Risk calculators and risk factors for Horseshoe kidney physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with horseshoe kidney usually appear well and in majority of cases horseshoe kidney is an incidental finding during radiological examination. Physical examination of patients with horseshoe kidney is usually remarkable for abdominal distension, palpable kidney, costovertebral tenderness and palpable bladder.
Physical Examination
Physical examination of patients with horseshoe kidney is usually remarkable for abdominal distension, palpable kidney, costovertebral tenderness and palpable bladder.[1][2]
Appearance of the Patient
- Patients with horseshoe kidney usually appear well.
Vital Signs
- High grade/low grade fever if infection is presen.
- 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 horseshoe kidney is usually normal.
HEENT
- HEENT examination of patients with horseshoe kidney usually unremarkable.
Neck
- Neck examination of patients with horseshoe kidney is usually normal.
Lungs
- Pulmonary examination of patients with horseshoe kidney usually normal.
Heart
- Cardiovascular examination of patients with horseshoe kidney is usually normal.
Abdomen
- Abdominal distention.
- Abdominal tenderness.
- A lower mid-line palpable abdominal mass.
Back
- Costovertebral angle tenderness can be present due to renal stone, infection or hydronephrosis.
Genitourinary
- Rectal examination should be performed in patients with hydronephrosis to assess:
Neuromuscular
- Neuromuscular examination of patients with horseshoe kidney is usually normal.
Extremities
- Extremities examination of patients with horseshoe kidney is usually normal.