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176 Possible Causes for Costovertebral Angle Tenderness, Hematuria

  • Urinary Tract Infection

    We report the case of a 5-year-old girl who presented with hematuria and a urinary tract infection and on workup was found to have a large bladder mass.[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] […] nocturia ) Inability to hold your urine (urinary incontinence) Passing frequent, small amounts of urine Foul-smelling urine Cloudy urine caused by pus ( pyuria ) Bloody urine ( hematuria[verywell.com]

  • Hemophilia B

    Caution is necessary if hematuria B requires administration of rFVIIa.[ncbi.nlm.nih.gov] […] 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] Spontaneous hematuria is a fairly frequent and highly characteristic sign of the disorder.[orpha.net]

  • Hemophilia A

    Hematuria is frequent in hemophilia.[ncbi.nlm.nih.gov] , 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] .  Genitourinary Bleeding: Frequently severe hemophiliac can experience hematuria and a structural lesion should be ruled out. 14.[slideshare.net]

  • Renal Infarction

    Urinary analysis will show macroscopic or microscopic hematuria and proteinuria.[symptoma.com] 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]

  • Hydronephrosis

    A 67-year-old woman was referred to the urology clinic for abdominal pain and hematuria. Urine analysis showed microscopic hematuria.[ncbi.nlm.nih.gov] On physical exam, there is left-sided costovertebral angle tenderness.[medbullets.com] In adults and older children symptoms may include intermittent abdominal or flank pain, nausea, vomiting and hematuria.[ncbi.nlm.nih.gov]

  • Medullary Sponge Kidney

    Exercise-induced hematuria a fairly common cause of microscopic hematuria. Its presence in military recruits earned it the title "march hematuria."[kidneydisease.about.com] A 22-year-old woman with hemoglobin SC who was hematologically asymptomatic, developed gross hematuria associated with urinary tract infection, without any urological antecedents[ncbi.nlm.nih.gov] One child was asymptomatic; the others had hematuria or a urine-concentrating defect. Renal function and size were otherwise normal, as was liver function.[ncbi.nlm.nih.gov]

  • Renal Vein Thrombosis

    A 38-year-old woman presented with flank pain and hematuria suggestive of renal calculus on ultrasound.[ncbi.nlm.nih.gov] Physical examination revealed no abdominal masses, costovertebral-angle tenderness, or peripheral edema.[nejm.org] A 74-year-old male was admitted to our hospital because of gross hematuria with urinary symptoms and intermittent chills.[ncbi.nlm.nih.gov]

  • Pyelonephritis

    Both presented mild proteinuria and hematuria.[ncbi.nlm.nih.gov] Common signs and symptoms include acute-onset fever, chills, severe back or flank pain, nausea and vomiting, and costovertebral angle tenderness.[bestpractice.bmj.com] She was admitted to our hospital with fever, urodynia, lower abdominal pain, gross hematuria, and cloudy urine. Urine cultures were positive for S. Schwarzengrund.[ncbi.nlm.nih.gov]

  • Cystitis

    […] interstitial cystitis (IC), such as voiding frequency, urgency with urge incontinence, dysuria, nocturia, burning sensation during urination, post urination pain, painful hematuria[ncbi.nlm.nih.gov] 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[emedicine.medscape.com] With cystitis, you may have blood cells in your urine that can be seen only with a microscope (microscopic hematuria) and that usually resolves with treatment.[mayoclinic.org]

  • Acute Pyelonephritis

    Clinically, it is difficult to distinguish between acute pyelonephritis and RVT because both present with fever, flank pain, and hematuria.[ncbi.nlm.nih.gov] Common signs and symptoms include acute-onset fever, chills, severe back or flank pain, nausea and vomiting, and costovertebral angle tenderness.[bestpractice.bmj.com] Early clinical manifestations were sudden onset of left flank pain, fever, hematuria and pyuria, and following admission, severe abdominal pain, nausea, vomiting, reduced[ncbi.nlm.nih.gov]

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