Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS
Adult female with right flank pain, fever, leukocytosis, soft vitals, and dirty urine. Right renal sag video. ?Diagnosis/differential.
Answer: Xanthogranulomatous pyelo. Urine culture-Proteus mirabilis. "Bear paw sign." Also had early perinephric/psoas abscess. Underwent nephrectomy after stabilized.
- Dr. Robert Jones @RJonesSonoEM
#XGP #Xanthogranulomatous #Pyelonephritis #BearPaw #Sign #POCUS #clinical #ultrasound #renal