Hypertensive nephropathy physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]
Physical Examination
Eye
- May show hypertensive retinal changes.
Neck
- Raised jugular venous pressure
Lungs
- Rales from pulmonary edema on auscultation
- Decreased breath sounds and dullness to percuss.
Heart
- Signs of left ventricular hypertrophy
Palpation
- Left ventricular heave
- Shifting of apex towards the left
Ausculatation
- S3 and gallop rhythm
- Loud S2
Abdomen
Neurologic
- Paralysis from stroke secondary to hypertension