Renal Masses

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Renal Masses

  • Unilateral / Bilateral / Transplanted

Examination

  • Inspection
    • scars
      • in loin
      • transplant in groin
      • CAPD catheters
    • arteriovenous fistula in arm
  • Palpation
    • bimanual palpation of mass in loin
    • ballotable
    • able to get above it
    • moves with
    • transplanted kidney in iliac fossa
      • dull to percussion
  • Percussion
    • resonance of bowel gas
  • Auscultate
    • bruit
      • tumour
      • renal artery stenosis

Causes

  • Bilateral
  • Unilateral
    • Hydronephrosis
    • Renal Cyst
    • Hypertrophy of single (functioning) kidney
    • Malignancy
 

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