Renal Cortical Necrosis Clinical Presentation

Updated: Nov 03, 2015
  • Author: Prasad Devarajan, MD, FAAP; Chief Editor: Craig B Langman, MD  more...
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Presentation

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)
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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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