CLINICAL DIAGNOSTIC MANUAL
Bilateral abdominal masses in the upper abdomen may be detected during a physical examination and could indicate the presence of pathologies affecting the organs located in this region.
These masses can be palpable and prominent, and their origin may be due to various medical conditions, including renal diseases, obstructive processes, and infiltrative disorders. Accurate identification of the underlying cause is crucial for the appropriate management and treatment of the condition.
Condition | Symptoms and Clinical Signs | Suspicion Diagnosis | Confirmatory Diagnosis |
Polycystic Kidney Disease | Abdominal or lumbar pain, haematuria, hypertension, recurrent urinary infections, palpable renal masses, progressive renal failure | Clinical history, clinical symptoms | Abdominal ultrasound, abdominal CT/MRI, urinalysis |
Bilateral Hydronephrosis | Abdominal or lumbar pain, decreased urine flow, recurrent urinary infections, nausea, vomiting, haematuria, hypertension, palpable renal masses | Clinical history, clinical symptoms | Abdominal ultrasound, abdominal CT/MRI, intravenous urography |
Amyloidosis | Fatigue, weight loss, oedema, peripheral neuropathy, hepatomegaly, splenomegaly, renal failure, palpable renal masses (in advanced cases) | Clinical history, clinical symptoms | Renal biopsy, serum and urine protein electrophoresis |
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