Kidney stone physical examination

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

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

  • Physical examination of patients with nephrolithiasis is usually remarkable for

Appearance of the Patient

  • Patients with nephrolithiasis usually appear in pain.
  • Patients tend to move constantly in order to achieve a comfortable position.

Vital Signs

  • High-grade / low-grade fever.
  • Tachycardia with regular pulse can be seen secondary to pain.
  • Tachypnea can be seen.

Skin

  • Skin examination of patients with nephrolithiasis is usually normal.

HEENT

  • HEENT examination of patients with nephrolithiasis is usually normal.

Neck

  • Neck examination of patients with nephrolithiasis is usually normal.

Lungs

  • Pulmonary examination of patients with nephrolithiasis is usually normal.

Heart

Costovertebral angle -By Brainmachine, Source:Wikimedia commons[1]
  • Cardiovascular examination of patients with nephrolithiasis is usually normal.

Abdomen

  • Hypoactive bowel sounds as seen in ileus due to severe pain
  • Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test

Back

  • Costovertebral angle tenderness bilaterally/unilaterally depending upon sides involved.

Genitourinary

  • Genitourinary examination of patients with [disease name] is usually normal.

OR

  • A pelvic/adnexal mass may be palpated
  • Inflamed mucosa
  • Clear/(color), foul-smelling/odorless penile/vaginal discharge

Neuromuscular

  • Neuromuscular examination of patients with nephrolithiasis is usually normal.

Extremities

  • Extremities examination of patients with nephrolithiasis is usually normal.

References

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