• Specific test for Pyelonephritis (88% specificity)
• Low sensitivity (21%)

1. Apply gentle pressure between the 12th rib and the vertebral column

   

   Ask the patient if they experience pain

   • Yes - Pyelonephritis
   • No - Step 2

2 Gently tap (use 1 finger, not a fist, but fist is the textbook answer) your hand, ask the patient if they experience pain

• Yes - Pyelonephritis
• No - Negative