A site for medical students - Practical,Theory,Osce Notes

Points to note in a renal lump :

Once the kidney is palpable examine for the folllowing
  • Site
  • Size.
  • Shape (ovoid normally).
  • Consistency (resilient or firm in feel).
  • Margins (rounded).
  • Surface (normally smooth surface: irregular in polycystic kidney).
  • Tenderness.
  • Movement with respiration (normally kidney shows slight movement with respiration).
  • Whether bimanually palpable and ballottable.
Renal angle tenderness
In case of left sided renal lump—Examine for band of colonic resonance over the lump (by
Remember, a kidney lump is bimanually palpable and ballottable. The kidney is ballottable
Because it is a posterior abdominal organ.