TREATMENTS &
RESEARCH

Search the
latest
treatment
information
here.

Dr. Huntley's
Diagnosis
Checklist

Have a symptom?
See what questions
a doctor would ask.
 

FLANK PAIN

FLANK PAIN: Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the Following Questions:

  1. Is there associated fever? The presence of fever along with chest pain should make one think of a perinephric abscess or pyelonephritis. Occasionally, however, hypernephroma can cause fever and flank pain, as can bilateral hydronephrosis.
  2. Is there a flank mass? The presence of flank pain along with a flank mass should make one think of a hypernephroma, hydronephrosis, polycystic kidneys, or perinephric abscess.
  3. Is there hematuria? The presence of pain and hematuria should make one think of renal calculus first, but the possibility of a renal infarction, polycystic kidneys, and tuberculosis of the kidneys must be considered also. Hematuria is also found in a hypernephroma.

DIAGNOSTIC WORKUP

Routine tests include a CBC, sedimentation rate, chemistry panel, urinalysis, and urine culture. An intravenous pyelogram is the next logical step. If these fail to make a definitive diagnosis, one should consider ordering an abdominal ultrasound or a CT scan of the abdomen. If a renal infarction is suspected, aortography and renal angiography may be ordered. When the above tests are all negative, one should consider x-rays of the lumbosacral spine and MRI of the thoracic and lumbar spine. Consulting a urologist is prudent before ordering expensive diagnostic tests.

 

Book Source Details

  • Book Title: Algorithmic Diagnosis of Symptoms and Signs
  • Author(s): R. Douglas Collins
  • Year of Publication: 2003
  • Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

More About Restless Legs Syndrome

More Medical Textbooks Online about Restless Legs Syndrome

Review other book chapters online related to Restless Legs Syndrome:

Medical Books Excerpts
  • BACK PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • BREAST PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • CHEST PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • EYE PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • FACE PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • FLANK PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • HEEL PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • HIP PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • JAW PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • JOINT PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • Back Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Chest Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Hip Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Knee Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Toeing Out
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Toeing In
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • MYOCLONUS
  • "Differential Diagnosis in Primary Care" (2007)
  • ARM PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • EYE PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • HIP PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • Myoclonus
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Arm pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Back pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Chest pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Eye pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Flank pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Jaw pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Neck pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Rectal pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Seizures
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • Back Pain
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • Chest Pain
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • Myoclonus
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Arm pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Back pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Chest pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Facial pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Flank pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Jaw pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Neck pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Seizures
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Chest Pain, Atypical
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Low Back Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Abdominal Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Calf Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Chronic Pelvic Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Hip Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Knee Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Neck Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Pleuritic Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Shoulder Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Scrotal Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Seizures
  • "Field Guide to Bedside Diagnosis" (2007)
  • Eye Pain
  • "Field Guide to Bedside Diagnosis" (2007)
  • Hip Pain
  • "Field Guide to Bedside Diagnosis" (2007)
  • Myoclonus
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Abdominal pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Back pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Chest pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Eye pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Flank pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Jaw pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Neck pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Myoclonus
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Arm pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Back pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Breast pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Chest pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Eye pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Facial pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Flank pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Jaw pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Neck pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Rectal pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Seizures
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Abdominal Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Back Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Chest Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Myoclonus
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Arm pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Back pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Chest pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Flank pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Jaw pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Neck pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • ARM PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • EYE PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • HIP PAIN
  • "Differential Diagnosis in Primary Care" (2007)
 

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.




More About This Book:
Title: Algorithmic Diagnosis of Symptoms and Signs
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2003
ISBN: 0-7817-3805-9

 » Next page: HEEL PAIN (Algorithmic Diagnosis of Symptoms and Signs)

Rate This Website

What do you think about the features of this website? Take our user survey and have your say:

Website User Survey

Medical Tools & Articles:

Next articles:

Tools & Services:

Medical Articles:

Forums & Message Boards

 
HONcode We subscribe to the HONcode principles

By using this site you agree to our Terms of Use. Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information on this site is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs. Please see our Terms of Use.

Home | Symptoms | Diseases | Diagnosis | Videos | Tools | Forum | About Us | Terms of Use | Privacy Policy | Site Map | Advertise