Renal papillary necrosis physical examination

Common physical examination findings of renal papillary necrosis include fever, costovertebral angle tenderness, and hematuria.

Common physical examination findings of renal papillary necrosis include fever, costovertebral angle tenderness, and hematuria. ^{[1] [2]}

• Brownish-black appearance due to accumulation of phenacetin metabolites.

• Fever
• Tachycardia
• Hypertension

• Pallor due to anemia
• Brownish-black

• Fine crackles upon auscultation of the lung bases bilaterally in volume overload conditions due to chronic renal failure

• signs of pericarditis such as friction rub due to uremia

• Abdominal distention in volume overload conditions due to chronic renal failure

• Costovertebral angle tenderness bilaterally or unilaterally

• Gross hematuria

• Pitting edema of the lower extremities in volume overload conditions due to chronic renal failure

• Altered mental status
• muscle weakness