Costovertebral Angle Tenderness: Causes & Reasons

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Possible Causes for Costovertebral Angle Tenderness

Medullary Sponge Kidney

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.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

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 [learningradiology.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]

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]

Acute Pyelonephritis

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]

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]

Hemophilia

Hemophilia is a heritable disease of abnormal or incomplete clotting. Hemophilia A is the most common hereditary disease associated with life-threatening bleeding. Hemophilia B is a less common variant of this disease which occurs due to a deficiency of Christmas factor (FIX). Hemophilia presents at birth or during[…] [symptoma.com]

Herpes Simplex Infection

Herpes simplex infection is a term encompassing a wide range of infections that can be caused by herpes simplex viruses (HSV-1 and HSV-2). Mucocutaneous, oropharyngeal, genital, central nervous system, disseminated and systemic forms have been identified in children, adults, pregnant women, and neonates. An early[…] [symptoma.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]

angle tenderness Presence of fever may indicate prostatitis or pyelonephritis All cases of pyelonephritis or perinephric abscess need urologic evaluation. [lecturio.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]

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]

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. [clinicaladvisor.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]

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]

Urinary Tract Hemorrhage

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

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

Usually, there is no labial irritation, external dysuria or vaginal discharge (which would suggest vaginitis); and no fever, chills, nausea, flank pain, or costovertebral [ncemi.org]

Supernumerary Kidney

She also displayed significant costovertebral angle tenderness and moderate pain on palpation along the posterior superior iliac spine. [shmabstracts.com]

On arrival, she was febrile at 38.6°C and tachycardic to 95 bpm, with diffuse tenderness bilaterally in her upper and lower extremities. [shmabstracts.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]

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]

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]

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]

Staghorn Calculus

angle tenderness 10. [slideshare.net]

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

Examination • a chronically ill-appearing patient • Body habitus, • presence of vertebral kyphoscoliosis • In acute pyelonephritis or pyonephrosis - 1. toxic appearance 2. costovertebral [slideshare.net]

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]

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]

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]

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]

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 abdomen may be somewhat tender on the affected side as palpation increases pressure in the already-distended kidney (costovertebral angle tenderness), but peritoneal signs [msdmanuals.com]

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. [shmabstracts.com]

Vital findings were normal in the physical examination except left costovertebral angle tenderness. [omicsonline.org]

On presentation, he was tachycardic, febrile and had severe right costovertebral angle tenderness. [bmcnephrol.biomedcentral.com]

Puerperal Infection

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]