Analgesic nephropathy physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]
Overview
Overview
In physical examination of patients with analgesic nephropathy checking for the followings should be considered: headache, upper gastrointestinal disease (such as peptic ulcer), anemia, urinary tract infections, and hypertension.
Physical Examination
Physical Examination
In physical examination of patients with analgesic nephropathy checking for the followings should be considered:[1][2]
- Headache
- Upper gastrointestinal disease (such as peptic ulcer)
- Anemia (60%)
- Urinary tract infections (15-60%)
- Hypertension (15-70%)
- Microscopic hematuria (35%)
- Significant proteinuria (greater than 0.3 gr daily) (40%)
- Transitional cell tumours of the urothelium (in abuse of analgesics containing phenacetin)
- Varying degrees of renal failure (over 85%)
- Clinical gout (5%)
- Passage of papillae
- Flank or abdominal pain
References
References
- ↑ Nanra RS (1980). “Clinical and pathological aspects of analgesic nephropathy”. Br J Clin Pharmacol. 10 Suppl 2: 359S–368S. doi:10.1111/j.1365-2125.1980.tb01824.x. PMC 1430193. PMID 7002190.
- ↑ Nanra RS, Stuart-Taylor J, de Leon AH, White KH (1978). “Analgesic nephropathy: etiology, clinical syndrome, and clinicopathologic correlations in Australia”. Kidney Int. 13 (1): 79–92. doi:10.1038/ki.1978.11. PMID 362034.
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