Chief complaint

Colicky Flank Pain

Cystitis (Lower Urinary Tract Infection)

🎬Video coming Sept 2026
Costovertebral Angle Percussion
aka Murphy's punch sign; Pasternatsky sign; Goldflam sign
Rule in:MHCystitis (Lower Urinary Tract Infection), IEPerinephric Abscess, IEPyelonephritis +1 more
Rule out:MHNephrolithiasis, IEPerinephric Abscess, IEPyelonephritis +1 more

Nephrolithiasis

🎬Video coming Sept 2026
Costovertebral Angle Percussion
aka Murphy's punch sign; Pasternatsky sign; Goldflam sign
Rule in:MHCystitis (Lower Urinary Tract Infection), IEPerinephric Abscess, IEPyelonephritis +1 more
Rule out:MHNephrolithiasis, IEPerinephric Abscess, IEPyelonephritis +1 more

Nephrolithiasis (Ureteric Stone)

POCUS
🎬Video coming Sept 2026
Renal Ultrasound
Rule in:SHNephrolithiasis (Ureteric Stone)
Rule out:SHNephrolithiasis (Ureteric Stone)

Perinephric Abscess

🎬Video coming Sept 2026
Costovertebral Angle Percussion
aka Murphy's punch sign; Pasternatsky sign; Goldflam sign
Rule in:MHCystitis (Lower Urinary Tract Infection), IEPerinephric Abscess, IEPyelonephritis +1 more
Rule out:MHNephrolithiasis, IEPerinephric Abscess, IEPyelonephritis +1 more

Pyelonephritis

🎬Video coming Sept 2026
Costovertebral Angle Percussion
aka Murphy's punch sign; Pasternatsky sign; Goldflam sign
Rule in:MHCystitis (Lower Urinary Tract Infection), IEPerinephric Abscess, IEPyelonephritis +1 more
Rule out:MHNephrolithiasis, IEPerinephric Abscess, IEPyelonephritis +1 more

Renal Abscess

🎬Video coming Sept 2026
Costovertebral Angle Percussion
aka Murphy's punch sign; Pasternatsky sign; Goldflam sign
Rule in:MHCystitis (Lower Urinary Tract Infection), IEPerinephric Abscess, IEPyelonephritis +1 more
Rule out:MHNephrolithiasis, IEPerinephric Abscess, IEPyelonephritis +1 more