114:
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.
29:
467:
239:
Bickley, Lynn S., Peter G. Szilagyi, and
Richard M. Hoffman. Bates' guide to physical examination and history taking. Philadelphia: Wolters Kluwer, 2017. Print.
192:
it is often called
Pasternacki's sign after Belarusian internist Fiodor Ignatjevich Pasternacki, who described it during his rounds in a regional hospital in
460:
453:
651:
253:
Moore, Keith L., A. M. R. Agur, and Arthur F. Dalley. Clinically oriented anatomy. Philadelphia: Wolters Kluwer, 2018. Print.
127:
often indicates kidney pathology, but it may result from other medical problems. CVA tenderness is often present in acute
370:
281:
Stone, C K., and Roger L. Humphries. Current diagnosis & treatment. New York: McGraw-Hill
Education, 2017. Print.
329:
Doherty, Gerard M. Current diagnosis & treatment : surgery. New York: McGraw-Hill
Education, 2020. Print.
351:
McAninch, Jack W., and Tom F. Lue. Smith & Tanagho's general urology. New York: McGraw-Hill, 2020. Print.
313:
Rakel, Robert E., and David Rakel. Textbook of family medicine. Philadelphia: Elsevier/Saunders, 2011. Print.
91:
part of the CVA is formed by the transverse processes of the lumbar vertebrae. The CVA is distinct from the
614:
265:
LeBlond, Richard F., et al. DeGowin's diagnostic examination. New York: McGraw-Hill
Education, 2020. Print.
169:
A lack of CVA tenderness in patients with low back pain supports a diagnosis other than kidney pathology.
387:
445:
33:
Anatomic relationship of the 12th rib and lumbar vertebrae with lines representing the CVA overdrawn
700:
144:
299:
Kumar, Vinay, et al. Robbins basic pathology. Philadelphia, Pennsylvania: Elsevier, 2018. Print.
636:
55:. The CVA is formed by the 12th rib and the spine. Assessing for CVA tenderness is part of the
565:
159:
148:
124:
92:
56:
525:
178:
132:
72:
52:
290:
Agabegi, Steven S., et al. Step-up to medicine. Philadelphia: Wolters Kluwer, 2020. Print.
8:
695:
555:
550:
540:
199:
In
Italian the manouvre is referred to as "Giordano's sign", after the Italian physician
163:
629:
560:
545:
476:
412:
185:
84:
572:
417:
366:
338:
Mody L, Juthani-Mehta M. Urinary tract infections in older women: a clinical review.
103:
535:
509:
407:
399:
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80:
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669:
664:
624:
435:
207:
200:
480:
189:
128:
689:
421:
155:
136:
71:
The CVA is an anatomic concept of the relationship of the 12th rib to the
659:
499:
403:
206:
In Poland, it is often called
Goldflam's sign after Polish neurologist
87:
part of the CVA is formed by the lower border of the 12th rib, and the
342:. 2014;311(8):844-854. doi:10.1001/jama.2014.303 · PMID 24570248
475:
60:
619:
598:
588:
530:
494:
166:, blockage of blood flow to the kidney may cause CVA tenderness.
140:
360:
641:
593:
99:
177:
This medical test was first described by the
American surgeon
193:
152:
51:
is pain that results from touching the region inside of the
28:
363:
The
Remarkable surgical practice of John Benjamin Murphy
131:. CVA tenderness may be present in patients who have a
151:. CVA tenderness is also present in patients who have
354:
139:, a ureteropelvic junction obstruction, a kidney
687:
461:
379:
59:, and CVA tenderness often indicates kidney
361:Oh, Timothy T.; Schmitz, Robert L. (1993).
468:
454:
385:
27:
411:
118:
365:. Urbana: University of Illinois Press.
102:are within the CVAs. A small amount of
79:. There is one CVA on each side of the
688:
449:
388:"John Benjamin Murphy (1857 - 1916)"
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323:
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309:
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106:extends below the ribs in the CVAs.
13:
14:
712:
316:
302:
268:
256:
242:
220:
436:"Fiodor Ignatjevich Pasternacki"
109:
505:Costovertebral angle tenderness
428:
345:
22:Costovertebral angle tenderness
386:Musana K, Yale SH (May 2005).
332:
293:
284:
1:
213:
162:abscesses. In patients with
615:Lower urinary tract symptoms
210:, who described it in 1900.
7:
10:
717:
172:
66:
650:
607:
581:
518:
487:
26:
21:
145:urinary tract infection
98:The lower poles of the
637:Extravasation of urine
119:Differential diagnosis
149:vesicoureteral reflux
93:costovertebral joints
526:Urinary incontinence
179:John Benjamin Murphy
73:transverse processes
53:costovertebral angle
41:Costovertebral angle
551:Post-void dribbling
404:10.3121/cmr.3.2.110
164:sickle cell disease
546:Nocturnal enuresis
477:Signs and symptoms
186:Post-Soviet states
683:
682:
573:Urinary retention
135:, a stone in the
38:
37:
708:
536:Diurnal enuresis
510:Vesical tenesmus
479:relating to the
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77:lumbar vertebrae
31:
19:
18:
716:
715:
711:
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705:
686:
685:
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665:Brewer infarcts
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221:
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208:Samuel Goldflam
201:Davide Giordano
175:
160:retroperitoneal
121:
112:
69:
34:
17:
12:
11:
5:
714:
704:
703:
701:Abdominal pain
698:
681:
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533:
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497:
491:
489:
485:
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481:urinary system
473:
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427:
378:
371:
353:
344:
331:
315:
301:
292:
283:
267:
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241:
218:
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215:
212:
190:Eastern Europe
174:
171:
129:pyelonephritis
120:
117:
111:
108:
68:
65:
57:abdominal exam
36:
35:
32:
24:
23:
15:
9:
6:
4:
3:
2:
713:
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409:
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389:
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374:
372:0-252-01958-X
368:
364:
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110:Physical exam
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90:
86:
82:
78:
74:
64:
62:
58:
54:
50:
46:
42:
30:
25:
20:
675:Mathe's sign
670:Lloyd's sign
504:
430:
398:(2): 110–2.
395:
392:Clin Med Res
391:
381:
362:
356:
347:
339:
334:
295:
286:
205:
198:
183:
176:
168:
156:appendicitis
133:kidney stone
122:
113:
97:
70:
48:
44:
40:
39:
660:Addis count
500:Renal colic
696:Nephrology
690:Categories
214:References
153:retrocecal
125:tenderness
49:tenderness
652:Eponymous
630:frequency
196:in 1888.
181:in 1884.
63:.
61:pathology
620:Nocturia
599:Polyuria
589:Oliguria
566:Overflow
541:Giggling
531:Enuresis
422:16012130
625:urgency
519:Control
495:Dysuria
413:1183442
184:In the
173:History
141:abscess
100:kidneys
85:lateral
75:of the
67:Anatomy
642:Uremia
594:Anuria
582:Volume
556:Stress
420:
410:
369:
147:, and
137:ureter
104:pleura
89:medial
83:. The
608:Other
194:Minsk
81:spine
561:Urge
488:Pain
418:PMID
367:ISBN
340:JAMA
188:and
158:and
143:, a
123:CVA
16:Pain
408:PMC
400:doi
45:CVA
692::
416:.
406:.
394:.
390:.
318:^
304:^
270:^
258:^
244:^
222:^
203:.
95:.
47:)
469:e
462:t
455:v
438:.
424:.
402::
396:3
375:.
43:(
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