Costovertebral Angle Tenderness Exam
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The Spicy MD. on Instagram: "MURPHY’S KIDNEY PUNCH (Renal punch / CVA tenderness) 🥊🩺 ✅ Purpose: Checks for kidney inflammation (esp. acute pyelonephritis) 📍 How to do it: 1. Locate the CVA (angle of 12th rib + spine) 2. Place one hand over the CVA 3. Gently “punch/tap” your hand with the other 4. Compare both sides 🔥 Positive = CVA tenderness/pain 📌 Suggests: Acute Pyelonephritis 🧠 Also seen in: renal stones, hydronephrosis, perinephric abscess ⚠️ Not the same as Murphy sign (RUQ pain = ac
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