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
Dr. Gerald Diaz @GeraldMD · 4 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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