Assessment and Causes of Renal Enlargement

 

  1. Hydronephrosis – accumulation of urine in the kidney due to obstruction in the ureter.
  2. Neoplasm
  3. Polycystic kidney disease – inherited disease causing growth of multiple large cysts within the kidneys resulting in end-stage renal disease.

 

  • Kidney tenderness is usually looked at posteriorly during examination of the back, saving the patient needless exertion
  • Place palm of your left hand over each costovertebral angle in turn
  • Strike it with the ulnar surface of your right fist
  • Normally the patient should perceive a jar or thud, but no pain.

Bates, Barbara. 1974. A Guide to Physical Examination. J.B. Lippincott Company, Toronto.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: