Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of known horseshoe kidney (ICD-10: Q62.3_1). Currently asymptomatic with no reports of hematuria, flank pain, or dysuria. No history of recurrent urinary tract infections or obstructive symptoms. Renal function remains stable.
Clinical Examination Findings
Abdominal examination reveals a soft, non-tender abdomen. No palpable masses or organomegaly noted. Costovertebral angle (CVA) tenderness is absent bilaterally. External genitalia appear normal. No signs of systemic hypertension or edema.
Treatment Protocol
Plan: Maintain conservative management with routine monitoring of renal function and blood pressure. Encourage adequate hydration to prevent nephrolithiasis. Maintain high index of suspicion for UTI; urinalysis and culture indicated for any suggestive symptoms. Follow-up renal ultrasound scheduled in [X] months to monitor for UPJ obstruction or hydronephrosis.