Urological Causes
Overview
-Many serious conditions can refer pain and other symptoms to the anterior thigh and groin due to the location of an organ during fetal development. For example, kidney issues can present with pubogenital pain due to the location of the genitalia during fetal growth (where kidneys are located in the adult).
Causes
-Kidney Stone
-Ureteral colic
-Renal disease
-Discogenic disease
-Urinary Tract Infection
Examination
-Conduct neurological exam
-Patient History
-Interview patient about presence urologic symptoms, i.e. blood in urine, pain with urination
-Pattern of pain
Assessment/Outcome Measures/Tests
-Murphy's Percussion Test: rules out kidney involvement. A positive test is when pain is reproduced with percussive vibration of the kidney and indicates possibility of inflammation or kidney infection. Further medical questioning regarding constitutional symptoms is then warranted.
Clinical Bottom Line: Referral to primary care provider or physician.
See the Urological References
-Many serious conditions can refer pain and other symptoms to the anterior thigh and groin due to the location of an organ during fetal development. For example, kidney issues can present with pubogenital pain due to the location of the genitalia during fetal growth (where kidneys are located in the adult).
Causes
-Kidney Stone
-Ureteral colic
-Renal disease
-Discogenic disease
-Urinary Tract Infection
Examination
-Conduct neurological exam
-Patient History
-Interview patient about presence urologic symptoms, i.e. blood in urine, pain with urination
-Pattern of pain
Assessment/Outcome Measures/Tests
-Murphy's Percussion Test: rules out kidney involvement. A positive test is when pain is reproduced with percussive vibration of the kidney and indicates possibility of inflammation or kidney infection. Further medical questioning regarding constitutional symptoms is then warranted.
Clinical Bottom Line: Referral to primary care provider or physician.
See the Urological References