Title |
Eliciting renal tenderness by sonopalpation in diagnosing acute pyelonephritis
|
---|---|
Published in |
The Ultrasound Journal, January 2017
|
DOI | 10.1186/s13089-016-0056-6 |
Pubmed ID | |
Authors |
Jeremy S. Faust, James W. Tsung |
Abstract |
Diagnosing acute pyelonephritis relies on the combination of historical, physical, and laboratory findings. Costovertebral angle tenderness is important, although its accuracy is unknown. Point-of-care ultrasound-guided palpation (sonopalpation) may aid clinicians in localizing pain to discrete anatomic structures in cases of suspected acute pyelonephritis lacking classic features. We describe three low-to-moderate pre-test probability cases wherein maximal tenderness was elicited by renal sonopalpation, aiding in the diagnosis of acute pyelonephritis. In a fourth case, absence of renal tenderness to sonopalpation in a patient exhibiting typical acute pyelonephritis features led to an alternate diagnosis. Therefore, renal sonopalpation may be useful in confirming or refuting suspected cases. |
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