Which pelvic exam findings indicate acute pyelonephritis (kidney infection)?

Updated: Jul 01, 2021
  • Author: Tibor Fulop, MD, PhD, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

In women, a pelvic examination should be performed. Tenderness of the cervix, uterus, and adnexa should be absent. Any positive finding suggests an additional or alternative diagnosis. A gynecologic cause of the symptoms should be pursued if any of the following are present:

  • Doubt as to the diagnosis
  • Signs or symptoms of urethritis or vaginitis
  • A history of dyspareunia

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