Flank Pain

Flank Pain: Or something else? Differential Diagnosis

Cardiovascular (I00-I99). Ruptured aortic aneurysm (outpouching of the aorta that has ruptured) – usually left-sided rupture with continuous pain (annihilation pain) and tendency to collapse; possible additional symptoms: diffuse abdominal and back pain, a poorly palpable inguinal pulse of variable intensity, and dizziness (older patients) Liver, gallbladder, and bile ducts-pancreas (pancreas) (K70-K77; K80-K87). Cholelithiasis (gallstones; … Flank Pain: Or something else? Differential Diagnosis

Flank Pain: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing): Of the skin, mucous membranes and sclerae (white part of the eye). Abdomen Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel … Flank Pain: Examination

Flank Pain: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram) [microhematuria: stone disease, sensitivity: 90%]. Renal parameters – urea, creatinine, if necessary cystatin C or … Flank Pain: Test and Diagnosis

Flank Pain: Diagnostic Tests

Obligatory medical device diagnostics Abdominal ultrasonography (ultrasound of abdominal organs – as a standard diagnostic tool for abdominal pain (e.g., due toovarian cyst (ovarian cyst), pregnancy) [first choice in pregnancy]. Computed tomography (CT) of the abdomen (abdominal CT) without contrast medium – for suspected tumors, stones, inflammation (appendicitis (appendicitis), diverticulitis (disease of the colon, in … Flank Pain: Diagnostic Tests

Flank Pain: Symptoms, Complaints, Signs

The following symptoms and complaints may occur along with flank pain: Leading symptom Flank pain (localization may vary): Abdomen Inguinal region (groin) Labia (labia) Testicles Penis Inner thigh Associated symptoms Fever Hematuria (blood in the urine): microhematuria and macrohematuria (microhematuria: no discoloration of the urine; only in the microscopic image erythrocytes (red blood cells) fall … Flank Pain: Symptoms, Complaints, Signs

Flank Pain: Medical History

Medical history (history of illness) represents an important component in the diagnosis of flank pain. Family history Is there a frequent history of kidney disease/metabolic disorders in your family? Social history Current medical history/systemic history (somatic and psychological complaints). How long has the flank pain been present? Has the pain changed? Become more severe? Did … Flank Pain: Medical History