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How do you assess costovertebral angle pain?

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  • Put the patient in a sitting position.
  • Gently press the costovertebral angle.
  • Percuss the costovertebral angles.
  • Feel the paravertebral muscles to assess the tone.
  • Assess tenderness of ribs, paraspinal muscle, and spine.
  • Auscultate the costovertebral angle for the bruit.

 

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