Renal Cortical Necrosis Clinical Presentation
- Author: Prasad Devarajan, MD; Chief Editor: Craig B Langman, MD more...
History
The following may be noted in the history of patients with renal cortical necrosis:
- Renal failure (oliguria, hematuria, flank pain)
- Neonatal conditions (perinatal asphyxia, bleeding, cyanotic heart disease)
- Childhood conditions (diarrhea, vomiting, blood in stools, HUS)
- Severe trauma
- Snakebite (eg, sea snake, cobra, green pit viper, Russell viper)
- Pregnancy (bleeding, abortion, symptoms of eclampsia)
Physical Examination
Kidney findings may include abdominal or bilateral costovertebral tenderness and/or palpable, tender kidneys.
Findings in patients with shock may include hypotension, tachycardia, and/or delayed capillary refill.
Findings in pregnancy may include lower abdominal tenderness, contracted uterus, and/or vaginal bleeding.
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