Kidney and ureter examination

This is performed with the examination of the adrenal glands at the left and right flanks. Bimanual palpation is very useful  to go with anterior abdominal wall palpation. They are first inspected, then palpated before percussion and finally auscultation.

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Upper pole is deep to 12th rib. Right kidney lies 2.5 cm lower than left. It is about 5 cm from the midline and the the transpyloric plane at level of L1 passes roughly across the hila of right and left kidneys. The kidneys lie roughly about 3-4 cm above the iliac crests.
1 hypochrondriac (r,l) 2 lumbar  (flank-r, l)) 3 paraumbilical  4 Iliac (iliac fossa, r, l)) 5 suprapubic (hypogastric) 6 epigastric 7 left lateral line or midclavicular line 8 transpyloric plane (L1) 9 subcostal plane 10 transtubercular plane (L5








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