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Costovertebral angle tenderness. Costovertebral angle (CVA) tenderness is pain that results from touching the region inside of the costovertebral angle. [1] The CVA is formed by the 12th rib and the spine. [1] Assessing for CVA tenderness is part of the abdominal exam, and CVA tenderness often indicates kidney pathology.
The costovertebral angle (Latin: arcus costovertebralis) is the acute angle formed on either side of the human back between the twelfth rib and the vertebral column. [1] The kidney lies directly below this area, so is the place where, with percussion (Latin: sucussio renalis), pain is elicited when the person has kidney inflammation.
In medicine, Murphy's sign (also known as Sweeney’s sign) is a maneuver during a physical examination as part of the abdominal examination. [1] It is useful for differentiating pain in the right upper quadrant. Typically, it is positive in cholecystitis, but negative in choledocholithiasis, pyelonephritis, and ascending cholangitis.
Pyelonephritis is inflammation of the kidney, typically due to a bacterial infection. [ 3 ] Symptoms most often include fever and flank tenderness. [ 2 ] Other symptoms may include nausea, burning with urination, and frequent urination. [ 2 ] Complications may include pus around the kidney, sepsis, or kidney failure.
Complications. Acute kidney injury. Renal colic, also known as ureteric colic, is a type of abdominal pain commonly caused by obstruction of ureter from dislodged kidney stones. The most frequent site of obstruction is the vesico-ureteric junction (VUJ), the narrowest point of the upper urinary tract.
Loin pain hematuria syndrome. Sagittal section of the kidney and its capsule. Pain in LPHS is thought to result from distension of the kidney capsule. Loin pain hematuria syndrome (LPHS) is the combination of debilitating unilateral or bilateral flank pain and microscopic or macroscopic amounts of blood in the urine that is otherwise unexplained.