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Analgesic Nephropathy

Signs & Symptoms

 History of chronic pain #moderate #advanced
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
History of headaches
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
History of chronic analgesic use
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
Hematuria
Note: due to sloughed or obstructing papilla
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]

Physical Examination

 Hypertension #moderate #advanced
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]

Lab / Serology

 Anemia #moderate #advanced
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
Elevated creatinine
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
Sterile pyuria
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]

Imagin Study

 Imaging study renal papilla Calcifications
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
Imaging study Small kidneys
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
Imaging study indented contour
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]

Complication

Risk Factors

 Female
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]
More than 45 years old
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]

Cause

 Caused by long-term consumption of analgesic agents
Ref: Uptodate [ Clinical manifestations and diagnosis of analgesic nephropathy]

Other