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Related to costovertebral angle: pyelonephritis, costochondritis, flank pain
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On physical examination, the patient had bilateral costovertebral angle tenderness, right lower quadrant abdominal tenderness, and a boggy, tender, enlarged prostate.
No fluid wave or costovertebral angle tenderness was present.
On examination, he was febrile, tachycardic, had mild scleral icterus, dry mucosa, no lymphadenopathy, clear lungs, a flow murmur, benign abdomen, normal neurologic examination, and no costovertebral angle or spine tenderness.