Costovertebral Angle Tenderness: Causes & Reasons

Possible Causes for Costovertebral Angle Tenderness

These include costovertebral angle tenderness and ipsilateral groin, which usually underline the presence of nephrolithiasis, and fever, tachycardia, and hypotension, suggestive [symptoma.com]

Hemophilia B

[…] and peritoneal signs GU - Bladder spasm/distension/pain, costovertebral angle pain Other - Hematoma leading to location-specific signs (eg, airway obstruction, compartment [emedicine.medscape.com]

[…] and peritoneal signs Genitourinary: Bladder spasm/distention/pain, costovertebral angle pain Other: Hematoma leading to location-specific signs (eg, airway obstruction, compartment [emedicine.medscape.com]

[…] decreased range of motion, swelling, effusion, and warmth CNS - Abnormal neurologic exam findings, altered mental status, and meningismus GI - Can be painless; hepatic/splenic tenderness [emedicine.medscape.com]

Hemophilia A

and peritoneal signs Genitourinary - Bladder spasm/distension/pain and costovertebral angle pain Other - Hematoma leading to location-specific signs (eg, airway obstruction [emedicine.medscape.com]

[…] warmth Central nervous system (CNS) - Abnormal neurologic exam findings, altered mental status, and meningismus Gastrointestinal (GI) - Can be painless; hepatic/splenic tenderness [emedicine.medscape.com]

Acute Cystitis

A high overestimation error was associated with the symptoms of urinary frequency or suprapubic tenderness and costovertebral angle tenderness on examination. [ncbi.nlm.nih.gov]

If the patient has fever, chills, and severe costovertebral angle tenderness the possibility of acute pyelonephritis should be excluded. [lecturio.com]

Signs of cystitis (Contrast with Pyelonephritis) Afebrile Suprapubic Pain No Costovertebral angle (CVA) tenderness VIII. [fpnotebook.com]

Pyelonephritis

Costovertebral angle tenderness The costovertebral angle is located in the back between the 12th rib and the spine Purpose test in which pain is elicited by percussion Costovertebral [en.wikipedia.org]

Common signs and symptoms include acute-onset fever, chills, severe back or flank pain, nausea and vomiting, and costovertebral angle tenderness. [bestpractice.bmj.com]

Patients typically present with flank pain, costovertebral angle tenderness, fever, and other features of cystitis (e.g., dysuria, frequency). [amboss.com]

Acute Pyelonephritis

Costovertebral angle tenderness Medical diagnostics The costovertebral angle is located in the back between the 12th rib and the spine Purpose test in which pain is elicited [en.wikipedia.org]

She has costovertebral angle tenderness. [mdedge.com]

Common signs and symptoms include acute-onset fever, chills, severe back or flank pain, nausea and vomiting, and costovertebral angle tenderness. [bestpractice.bmj.com]

Hemophilia

Hemophilias are common hereditary bleeding disorders caused by deficiencies of either clotting factor VIII or IX. The extent of factor deficiency determines the probability and severity of bleeding. Bleeding into deep tissues or joints usually develops within hours of trauma. The diagnosis is suspected in a patient[…] [msdmanuals.com]

Herpes Simplex Infection

In utero Herpes simplex infection usually occurs from transplacental tramission of the Herpes simplex virus. Transplacental intrauterine infection with herpes simplex virus is an extremely rare complication of primary herpes simplex in pregnancy. Epidemiology Fetal HSV infection much less common than neonatal HSV[…] [radiopaedia.org]

Acute Otitis Externa

She has costovertebral angle tenderness. [mdedge.com]

Costovertebral angle tenderness is commonly unilateral over the affected kidney, but in some cases, bilateral costovertebral angle tenderness may be present. [ncbi.nlm.nih.gov]

angle tenderness on physical examination and leukocytosis, pyuria, and bacteriuria on laboratory studies. [mdedge.com]

Chronic Pyelonephritis

Patients typically present with flank pain, costovertebral angle tenderness, fever, and other features of cystitis (e.g., dysuria, frequency). [amboss.com]

Costovertebral angle tenderness is commonly unilateral over the affected kidney, but in some cases, bilateral costovertebral angle tenderness may be present. [ncbi.nlm.nih.gov]

Other common signs and symptoms include fever, chills, dysuria, urinary urgency and frequency, hematuria, nausea, vomiting, anorexia, costovertebral angle tenderness, and [journals.lww.com]

Puerperal Pelvic Cellulitis

The first sign of renal infection may be fever, followed later by costovertebral angle tenderness, nausea, and vomiting. [accessmedicine.mhmedical.com]

Costovertebral angle tenderness and other clinical signs of acute pyelonephritis are not usually present. [glowm.com]

Trichomonas Cystitis

[…] have gross hematuria Risk factors present (see Table 5 ) May have suprapubic tenderness; no costovertebral angle tenderness Usually positive for pyuria and sometimes also [aafp.org]

For cystitis: Check for presence of suprapubic or lower abdominal tenderness, no costovertebral angle tenderness, no epididymal tenderness or prostatic tenderness on exam. [cancertherapyadvisor.com]

Fever (greater than 38.5°C [101.3°F]), costovertebral angle tenderness or upper abdominal tenderness to deep palpation suggest acute pyelonephritis. [aafp.org]

Periurethral Abscess

No costovertebral angle tenderness was observed. [journals.lww.com]

A history of urethral discharge was not observed, and digital rectal examination showed a tenderness pattern with a burning sensation in the prostate. [journals.lww.com]

Ureterolithiasis

Examination in patients with nephrolithiasis includes the following findings: • Dramatic costovertebral angle tenderness; pain can move to upper/lower abdominal quadrant with [scribd.com]

There is tenderness to the left lower quadrant. There is no guarding or rebound and no costovertebral angle tenderness. [emra.org]

The most prominent finding on physical examination was the exquisite left costovertebral angle tenderness. [cureus.com]

Urinary Tract Hemorrhage

Can also have back pain, costovertebral angle tenderness, nausea and vomiting. [atsu.edu]

angle tenderness (which would suggest an upper urinary tract infection.) [ncemi.org]

Male- signs and symptoms of cystitis, fever and back pain or costovertebral angle tenderness. [atsu.edu]

Chemical Cystitis

[…] have gross hematuria Risk factors present (see Table 5 ) May have suprapubic tenderness; no costovertebral angle tenderness Usually positive for pyuria and sometimes also [aafp.org]

Fever (greater than 38.5°C [101.3°F]), costovertebral angle tenderness or upper abdominal tenderness to deep palpation suggest acute pyelonephritis. [aafp.org]

Alpha-Hemolytic Streptococcus

Angle Tenderness 1161 Checking for Deep Tendon Reflexes and Clonus 1163 Pelvic Examination 1169 Obtaining a Specimen for Papanicolaou Pap Diagnostic Evaluation 1195 Obtaining [books.google.de]

Catheter 1121 Giving Intravenous Medications 1125 SpinDown Hematocrit 1127 Removal of Norplant 1131 Breast Examination 1135 Obstetric Abdominal Examination 1147 Checking for Costovertebral [books.google.de]

Staghorn Calculus

Physical examination was notable for right upper quadrant and mild right costovertebral angle tenderness. [westjem.com]

Physical Examination Examination reveals the absence of costovertebral angle tenderness. Evaluation Her serum creatinine level is 1.7 mg/dL. [ncbi.nlm.nih.gov]

Urinary Tract Infection

On physical examination, there was costovertebral angle tenderness and her urinalysis was indicative for urinary tract infection. [ncbi.nlm.nih.gov]

Because of the referred pain pathways, even simple lower UTI may be accompanied by flank pain and costovertebral angle tenderness. [emedicine.medscape.com]

Costovertebral angle percussion tenderness is generally present on the infected side. [merckmanuals.com]

Lower Urinary Tract Infection

angle tenderness (which would suggest an upper urinary tract infection.) [ncemi.org]

Flank pain (may radiate to groin, often dull and constant) Costovertebral angle (CVA) tenderness Sudden renal edema, resulting in increased pressure and capsular distension [pathophys.org]

Differential Diagnosis of Recurrent Dysuria Diagnosis Associated features Acute pyelonephritis Nausea, fever, flank pain, costovertebral angle tenderness, pyuria with casts [aafp.org]

Perinephric Abscess

05:49 They may also feel suprapubic heaviness or pain. 05:54 But testing for costovertebral angle tenderness is extremely important. 06:01 Men will very often have fever [lecturio.com]

A physical examination revealed right upper quadrant tenderness and right costovertebral angle tenderness. [synapse.koreamed.org]

A physical examination revealed bilateral costovertebral angle tenderness. [bmcresnotes.biomedcentral.com]

Renal Colic

Abdominal assessment is unremarkable, but you note costovertebral angle tenderness. What's your assessment? Based on Mr. [journals.lww.com]

Both diagnoses may present with flank pain, costovertebral angle tenderness, nausea, and vomiting. [emdocs.net]

Costovertebral angle tenderness is a common finding as well [ 2 ]. [bmcurol.biomedcentral.com]

Urolithiasis

Department of Physiology, Keimyung University School of Medicine, Daegu, Korea. dksong@kmu.ac.kr Abstract Urolithiasis is suspected by flank pain, costovertebral angle tenderness [koreamed.org]

A history of fever or dysuria and costovertebral angle tenderness on physical examination were inversely associated with urolithiasis on UCT scans. [pediatrics.aappublications.org]

angle tenderness & lower extremity edema, as well as signs of primary hyperparathyroidism (HPT) & gout in the assessment Laboratory Tests Serum chemistries should include [specialty.mims.com]

Allergic Interstitial Nephritis

angle tenderness Studies Labs serum eosinophilia elevated serum creatinine Urinalysis with microscopy and sediment analysis white blood cell casts hematuria eosinophiluria [medbullets.com]

Lungs were clear to auscultation, with only mild tenderness in the right upper and lower quadrant areas. Bilateral costovertebral angles have no tenderness. [consultant360.com]

[…] hematuria flank pain arthralgias can be asymptomatic defining characteristics development of rash after administration of drug Physical exam rash diffuse maculopapular flank/costovertebral [medbullets.com]

Puerperal Complications

The first sign of renal infection may be fever, followed later by costovertebral angle tenderness, nausea, and vomiting. [accessmedicine.mhmedical.com]

Proteus Mirabilis Infection

Additional symptoms that are more definitive of pyelonephritis include flank pain, costovertebral angle tenderness, nausea and vomiting, fever, hematuria, and occasionally [statpearls.com]

Renal Abscess

Costovertebral angle tenderness is almost uniformly present with each type of corticomedullary infection. [emedicine.medscape.com]

Physical examination identified costovertebral angle tenderness and pedal edema. An ultrasound scan revealed a mass in his left kidney. [jmedicalcasereports.biomedcentral.com]

Acute pyelonephritis • Symptoms Flank pain, costovertebral angle tenderness Fever, chills, nausea, & vomiting Lower symptoms: dysuria, frequency, urgency • Laboratory Neutrophilic [slideshare.net]

Acute Hypertensive Retinopathy

The patient’s physical exam showed bilateral costovertebral angle tenderness, and his laboratory tests are summarized in Table 2. [djo.harvard.edu]

Upper Urinary Tract Infection

Flank pain (may radiate to groin, often dull and constant) Costovertebral angle (CVA) tenderness Sudden renal edema, resulting in increased pressure and capsular distension [pathophys.org]

Differential Diagnosis of Recurrent Dysuria Diagnosis Associated features Acute pyelonephritis Nausea, fever, flank pain, costovertebral angle tenderness, pyuria with casts [aafp.org]

angle tenderness ◦ acute haematuria 31. [slideshare.net]

Ureterocele

Left costovertebral angle tenderness was noted. Laboratory findings included significant leukocytosis with a left shift. [patientcareonline.com]

On examination, there was LLQ tenderness without rebound or guarding, no costovertebral angle tenderness, a normal external genitalia and a low grade fever. [iranjradiol.com]

On physical examination she had right costovertebral angle tenderness. Laboratory results revealed a leukocytosis of 19 × 10 9 /L and creatinine of 0.5 mg/dL. [ncbi.nlm.nih.gov]