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213 Possible Causes for Costovertebral Angle Tenderness

  • Urinary Tract Infection

    Because of the referred pain pathways, even simple lower UTI may be accompanied by flank pain and costovertebral angle tenderness.[] Flank pain and costovertebral angle tenderness (may be present in cystitis but suggest upper UTI) Bloody urine Fevers, chills, and malaise (may be noted in patients with[] CHILDREN AND ADOLESCENTS: dysuria, frequency, fever, costovertebral angle (CVA) tenderness, vomiting, abdominal pain, hematuria What other disease/condition shares some of[]

  • Hemophilia B

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

  • Hemophilia A

    , and peritoneal signs Genitourinary - Bladder spasm/distension/pain and costovertebral angle pain Other - Hematoma leading to location-specific signs (eg, airway obstruction[] […] warmth Central nervous system (CNS) - Abnormal neurologic exam findings, altered mental status, and meningismus Gastrointestinal (GI) - Can be painless; hepatic/splenic tenderness[]

  • Renal Infarction

    Physical examination was unremarkable except right costovertebral angle tenderness. His labs showed creatinine 0.9 mg/dl, GFR above 60 and INR 1.8.[] Vital findings were normal in the physical examination except left costovertebral angle tenderness.[] On presentation, he was tachycardic, febrile and had severe right costovertebral angle tenderness.[]

  • Hydronephrosis

    On physical exam, there is left-sided costovertebral angle tenderness.[] Physical examination revealed blood pressure of 110/80 mmHg and the presence of costovertebral-angle tenderness.[] angle tenderness distended bladder in lower urinary tract obstruction ( e.g., benign prostatic hyperplasia) Imaging Renal ultrasonography indication imaging test of choice[]

  • Medullary Sponge Kidney

    A patient with twenty years of persistent bacteriuria secondary to unilateral medullary sponge kidney, and in whom no antibiotic would sterilize the urine, was cured of her infection by nephrectomy in the presence of contralateral hydronephrosis. A review of the literature shows 23 cases of unilateral medullary[…][]

  • Renal Vein Thrombosis

    Physical examination revealed no abdominal masses, costovertebral-angle tenderness, or peripheral edema.[]

  • Urinary Tract Obstruction

    In cases that involve an infectious process, costovertebral angle tenderness can indicate pyelonephritis.[]

  • Interstitial Nephritis

    angle tenderness Studies Labs serum eosinophilia elevated serum creatinine Urinalysis with microscopy and sediment analysis white blood cell casts hematuria eosinophiluria[] […] hematuria flank pain arthralgias can be asymptomatic defining characteristics development of rash after administration of drug Physical exam rash diffuse maculopapular flank/costovertebral[]

  • Pyelonephritis

    Common signs and symptoms include acute-onset fever, chills, severe back or flank pain, nausea and vomiting, and costovertebral angle tenderness.[] angle tenderness may be present. o CBC § Elevated white blood cell count. o Urinalysis § Bacteriuria § Pyuria § White blood cell casts o Acute pyelonephritis is clinical[] Patients typically present with flank pain , costovertebral angle tenderness , fever , and other features of cystitis (e.g., dysuria , frequency).[]

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