Physical examination maneuver

Physical Exam

Renal Artery Auscultation

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Video coming September 2026

How to Perform

With the patient supine and the abdomen relaxed, place the diaphragm of the stethoscope a few centimeters above and to each side of the umbilicus over the upper-lateral abdomen, and where helpful in the flanks posteriorly. Listen for a bruit, particularly a combined systolic-diastolic bruit, during a held breath or quiet breathing. Auscultate both sides.

How to Interpret

Showing all 1 finding

Renovascular Hypertension

A continuous (systolic-diastolic) bruit heard over the upper-lateral abdomen or flank — a murmur that extends from systole through into diastole, as opposed to a systolic-only abdominal bruit
Rule in
Very helpful
Rule out
Minimally helpful
Evidence:Limited

References

  • Turnbull JM. The rational clinical examination. Is listening for abdominal bruits useful in the evaluation of hypertension? JAMA. 1995 Oct 25;274(16):1299-1301. PMID 7563536.
  • McGee S. Evidence-Based Physical Diagnosis. 6th ed. Philadelphia, PA: Elsevier; 2025.