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.