Baylor Health Care System
 
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Acute unilateral obstructive uropathy

Alternative Names

Obstructive uropathy - unilateral - acute; Ureteral obstruction

Symptoms

  • Abdominal pain, right or left lower quadrant
  • Abnormal urine color (tan, cola colored, tea colored)
  • Back pain, may be on only one side
  • Blood in the urine
  • Fever
  • Flank pain or pain in the side
    • Severe enough to require strong pain medicine
    • Pain on one side; it may move to the groin, genitals, and thigh
    • Pain comes and goes; intensity changes over minutes
  • Foul-smelling urine
  • High blood pressure that has increased recently (within 2 weeks)
  • Mental status changes
  • Nausea
  • Urinary frequency
  • Urinary urgency
  • Urinary tract infection
  • Vomiting

Exams and Tests

The health care provider will perform a physical exam. Palpation of the belly area reveals an swollen or tender kidney. Blood pressure may be high.

The following tests may be done:

  • Basic metabolic panel
  • Complete blood count (CBC)
  • Urinalysis
  • Urine culture

Kidney swelling or blockage of the ureter may appear on these tests:

References

Wein AJ.Campbell- Walsh Urology. 9th ed. St. Louis, Mo: WB Saunders; 2007.

Review Date: 1/16/2007
Reviewed By: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

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