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Loin pain-hematuria syndrome
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Loin pain-hematuria syndrome

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Contributors: Catherine Moore MD
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Synopsis

A kidney disorder characterized by persistent or recurrent loin pain and blood in the urine in the absence of urinary tract infection or stone. Signs and symptoms include nausea, vomiting, severe unilateral or bilateral flank pain, and microscopic or gross hematuria. May be associated with thin basement membrane disease.

Treatment includes avoidance of pain-inducing activities, pain management (often opioids), medications (including implantable drug delivery system), surgical renal denervation, and renal autotransplantation. Resources for opioid prescribing guidelines, as well as nonopioid alternatives, can be found here.

Codes

ICD10CM:
N23 – Unspecified renal colic

SNOMEDCT:
86208007 – Loin Pain-Hematuria Syndrome

Differential Diagnosis & Pitfalls

Differential diagnosis of nonglomerular hematuria and flank pain:

Best Tests

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References

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Last Updated: 11/09/2018
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Loin pain-hematuria syndrome
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Loin pain-hematuria syndrome : Flank pain, Nausea, Vomiting, Hematuria
Copyright © 2019 VisualDx®. All rights reserved.