Symptom >> Internal Medicine >> Nephrology

Percussion pain in kidney area

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction The patient takes a standing position, a sitting position or a lateral position. The examiner lays the left palm flat on the patient's kidney area, and the right hand grips the fist with a light to medium intensity to slam the left hand back. Normally, there is no sputum pain in the kidney area. When there is nephritis, pyelonephritis, kidney stones and periarteritis, the kidney area may have different degrees of snoring pain. There are many causes of kidney stones, including hereditary factors, metabolic factors, infectious factors, environmental factors, dietary factors, anatomical factors, and drug factors.

Cause

Cause

Nephritis, pyelonephritis, kidney stones. In various organs of the urinary system, the kidney is usually the site where stones form. Kidney stones are one of the common diseases of the urinary system, and one out of every 20 people may have kidney stones. There are dozens of known kidney stones. Clinically, stones are usually divided into four categories: calcium-containing stones, infectious stones, uric acid stones, and cystine stones. There are many causes of kidney stones, including hereditary factors, metabolic factors, infectious factors, environmental factors, dietary factors, anatomical factors, and drug factors.

Examine

an examination

Related inspection

Organ angiography bladder percussion kidney diarrhea urine routine

Diagnosis can be made by slamming the kidneys. Can assist X-ray, urine routine.

Diagnosis

Differential diagnosis

Identify nephritis, pyelonephritis, kidney stones and periarteritis.

Nephritis is an immune-induced disease that is immune-mediated inflammatory response. It is a different antigen that infects humans, produces different antibodies, combines into different immune complexes, and deposits in different parts of the kidney, causing pathological damage. .

Pyelonephritis (pyelonephritis) refers to the inflammation of the kidney sputum, mostly caused by bacterial infection, usually associated with urinary tract inflammation, clinically difficult to distinguish strictly. According to the clinical course and disease, pyelonephritis can be divided into acute and chronic phase. Chronic pyelonephritis is an important cause of chronic renal insufficiency.

A calculus of kidney is a stone that occurs in the renal pelvis, renal pelvis, and junction of the renal pelvis and ureter. Most are located in the renal pelvis and renal parenchyma, and renal parenchymal stones are rare. The plain film shows that the kidney region has single or multiple circular, oval or blunt triangular dense shadows with high density and uniformity. The edges are smooth, but they are also matte and mulberry-like. The kidney is the main part of the urinary calculi. The stones in any other part can be originated in the kidney. The ureteral stones are almost all from the kidneys, and the kidney stones are more likely to directly damage the kidneys than any other part of the stone. Therefore, early diagnosis and treatment are very important.

Perinephritis refers to inflammation occurring in adipose tissue between the renal capsule and the perirenal fascia. If the infection forms an abscess, it is called a perirenal abscess. Pathogenic bacteria are more common with Staphylococcus aureus and Escherichia coli. Most of them are formed by the rupture of renal pelvis and renal surface abscess and invade the surrounding tissues of the kidney. A few can also be directly transmitted to the surrounding tissues of the kidney by blood through distant inflammation.