Renal agenesis physical examination

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Overview

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

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