125:
To test for CVA tenderness, the examiner first applies gentle pressure to the region inside of the CVA with their finger. If gentle pressure does not elicit tenderness, the examiner places one hand over the region inside the CVA and taps that hand gently with the closed fist of the other hand.
40:
478:
471:
250:
Bickley, Lynn S., Peter G. Szilagyi, and
Richard M. Hoffman. Bates' guide to physical examination and history taking. Philadelphia: Wolters Kluwer, 2017. Print.
203:
it is often called
Pasternacki's sign after Belarusian internist Fiodor Ignatjevich Pasternacki, who described it during his rounds in a regional hospital in
464:
662:
381:
264:
Moore, Keith L., A. M. R. Agur, and Arthur F. Dalley. Clinically oriented anatomy. Philadelphia: Wolters Kluwer, 2018. Print.
138:
often indicates kidney pathology, but it may result from other medical problems. CVA tenderness is often present in acute
625:
292:
Stone, C K., and Roger L. Humphries. Current diagnosis & treatment. New York: McGraw-Hill
Education, 2017. Print.
340:
Doherty, Gerard M. Current diagnosis & treatment : surgery. New York: McGraw-Hill
Education, 2020. Print.
362:
McAninch, Jack W., and Tom F. Lue. Smith & Tanagho's general urology. New York: McGraw-Hill, 2020. Print.
324:
Rakel, Robert E., and David Rakel. Textbook of family medicine. Philadelphia: Elsevier/Saunders, 2011. Print.
711:
155:
102:
part of the CVA is formed by the transverse processes of the lumbar vertebrae. The CVA is distinct from the
276:
LeBlond, Richard F., et al. DeGowin's diagnostic examination. New York: McGraw-Hill
Education, 2020. Print.
647:
180:
A lack of CVA tenderness in patients with low back pain supports a diagnosis other than kidney pathology.
576:
170:
159:
135:
103:
67:
398:
536:
189:
143:
83:
63:
456:
44:
Anatomic relationship of the 12th rib and lumbar vertebrae with lines representing the CVA overdrawn
706:
566:
561:
551:
174:
640:
571:
556:
487:
196:
95:
310:
Kumar, Vinay, et al. Robbins basic pathology. Philadelphia, Pennsylvania: Elsevier, 2018. Print.
66:. The CVA is formed by the 12th rib and the spine. Assessing for CVA tenderness is part of the
583:
428:
377:
114:
546:
520:
418:
410:
99:
91:
87:
675:
635:
301:
Agabegi, Steven S., et al. Step-up to medicine. Philadelphia: Wolters Kluwer, 2020. Print.
218:
211:
685:
680:
210:
In
Italian the manouvre is referred to as "Giordano's sign", after the Italian physician
491:
423:
200:
139:
700:
349:
Mody L, Juthani-Mehta M. Urinary tract infections in older women: a clinical review.
166:
147:
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670:
510:
71:
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The CVA is an anatomic concept of the relationship of the 12th rib to the
630:
609:
599:
541:
414:
505:
217:
In Poland, it is often called
Goldflam's sign after Polish neurologist
151:
98:
part of the CVA is formed by the lower border of the 12th rib, and the
353:. 2014;311(8):844-854. doi:10.1001/jama.2014.303 · PMID 24570248
652:
604:
110:
39:
204:
163:
177:, blockage of blood flow to the kidney may cause CVA tenderness.
460:
188:
This medical test was first described by the
American surgeon
62:
is pain that results from touching the region inside of the
374:
The
Remarkable surgical practice of John Benjamin Murphy
142:. CVA tenderness may be present in patients who have a
162:. CVA tenderness is also present in patients who have
661:
618:
592:
529:
498:
32:
150:, a ureteropelvic junction obstruction, a kidney
472:
8:
70:, and CVA tenderness often indicates kidney
372:Oh, Timothy T.; Schmitz, Robert L. (1993).
479:
465:
457:
38:
422:
376:. Urbana: University of Illinois Press.
230:
113:are within the CVAs. A small amount of
90:. There is one CVA on each side of the
29:
7:
399:"John Benjamin Murphy (1857 - 1916)"
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117:extends below the ribs in the CVAs.
25:
447:"Fiodor Ignatjevich Pasternacki"
516:Costovertebral angle tenderness
33:Costovertebral angle tenderness
397:Musana K, Yale SH (May 2005).
1:
173:abscesses. In patients with
626:Lower urinary tract symptoms
221:, who described it in 1900.
728:
37:
156:urinary tract infection
109:The lower poles of the
648:Extravasation of urine
130:Differential diagnosis
160:vesicoureteral reflux
104:costovertebral joints
537:Urinary incontinence
190:John Benjamin Murphy
84:transverse processes
64:costovertebral angle
52:Costovertebral angle
562:Post-void dribbling
415:10.3121/cmr.3.2.110
175:sickle cell disease
557:Nocturnal enuresis
488:Signs and symptoms
197:Post-Soviet states
694:
693:
584:Urinary retention
146:, a stone in the
49:
48:
16:(Redirected from
719:
547:Diurnal enuresis
521:Vesical tenesmus
490:relating to the
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88:lumbar vertebrae
42:
30:
21:
727:
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676:Brewer infarcts
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219:Samuel Goldflam
212:Davide Giordano
186:
171:retroperitoneal
132:
123:
80:
45:
28:
23:
22:
15:
12:
11:
5:
725:
723:
715:
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712:Abdominal pain
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492:urinary system
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364:
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342:
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201:Eastern Europe
185:
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140:pyelonephritis
131:
128:
122:
119:
79:
76:
68:abdominal exam
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35:
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26:
24:
14:
13:
10:
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6:
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3:
2:
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383:0-252-01958-X
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121:Physical exam
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65:
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19:
686:Mathe's sign
681:Lloyd's sign
515:
441:
409:(2): 110–2.
406:
403:Clin Med Res
402:
392:
373:
367:
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306:
297:
216:
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167:appendicitis
144:kidney stone
133:
124:
108:
81:
59:
55:
51:
50:
18:Kidney punch
671:Addis count
511:Renal colic
707:Nephrology
701:Categories
225:References
164:retrocecal
136:tenderness
60:tenderness
663:Eponymous
641:frequency
207:in 1888.
192:in 1884.
74:.
72:pathology
631:Nocturia
610:Polyuria
600:Oliguria
577:Overflow
552:Giggling
542:Enuresis
433:16012130
636:urgency
530:Control
506:Dysuria
424:1183442
195:In the
184:History
152:abscess
111:kidneys
96:lateral
86:of the
78:Anatomy
653:Uremia
605:Anuria
593:Volume
567:Stress
431:
421:
380:
158:, and
148:ureter
115:pleura
100:medial
94:. The
619:Other
205:Minsk
92:spine
572:Urge
499:Pain
429:PMID
378:ISBN
351:JAMA
199:and
169:and
154:, a
134:CVA
27:Pain
419:PMC
411:doi
56:CVA
703::
427:.
417:.
405:.
401:.
329:^
315:^
281:^
269:^
255:^
233:^
214:.
106:.
58:)
480:e
473:t
466:v
449:.
435:.
413::
407:3
386:.
54:(
20:)
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