Health Dictionary
Reliable, easy-to-read patient information on common medical conditions ā written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Analgesic nephropathy physical examination
Introduction
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,Ā 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%) Ā
- Urinary tract infections (15-60%)Ā
- 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 Ā
- Flank or abdominal pain Ā
References
References
- ā Nanra RS (1980). “Clinical and pathological aspects of analgesic nephropathy”. Br J Clin Pharmacol. 10 Suppl 2: 359Sā368S. doi:10.1111/j.1365-2125.1980.tb01824.x. PMCĀ 1430193. PMIDĀ 7002190.
- ā 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): 79ā92. doi:10.1038/ki.1978.11. PMIDĀ 362034.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]