Polyarteritis nodosa physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
Sargun Walia (talk | contribs) No edit summary |
||
| (8 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Polyarteritis nodosa}} | {{Polyarteritis nodosa}} | ||
{{CMG}}; {{AE}} {{ | * {{CMG}}; {{AE}} {{SSW}} | ||
==Overview== | == Overview == | ||
Physical examination plays an important role in diagnosing polyarteritis nodosa. Arteritis can be suspected with the presence of multiple [[Mononeuropathy|mononeuropathies]].Signs of ischemia such as extremity ischemia, hypertension and renovascular disease can help in diagnosing polyarteritis nodosa. Skin examination of patients with polyarteritis nodosa can show [[Livedo reticularis|Livedo]] [[Livedo reticularis|reticularis]], ulceration, digital ischemia, and nodules. Polyarteritis nodosa may present with ophthalmologic symptoms like retinal vasculitis, retinal detachment and cotton-wool spots. Cardiovascular examination of patients with polyarteritis nodosa shows hypertension, tachycardia, pericardial friction rub, arrhythmias and congestive heart failure. Abdominal examination of patients with polyarteritis nodosa shows abdominal tenderness and gastro-intestinal bleeding. Neuromuscular examination of patients with polyarteritis nodosa shows sensory and/or motor neuropathies and mononeuritis multiplex. | |||
==Physical Examination== | == Physical Examination == | ||
* Physical examination plays an important role in diagnosing polyarteritis nodosa. | |||
* Arteritis can be suspected with the presence of multiple [[Mononeuropathy|mononeuropathies]]. | |||
* Signs of ischemia such as extremity ischemia, hypertension and renovascular disease can help in diagnosing polyarteritis nodosa. | |||
=== Skin === | |||
* Skin examination of patients with polyarteritis nodosa can show:<ref name="pmid12350194">{{cite journal |vauthors=Stone JH |title=Polyarteritis nodosa |journal=JAMA |volume=288 |issue=13 |pages=1632–9 |date=October 2002 |pmid=12350194 |doi= |url=}}</ref> | |||
** [[Livedo reticularis]] | |||
** [[Ulcer|Ulcerations]] | |||
*** Ulcers can be seen on the lower extremeties | |||
** Digital ischemia | |||
*** Splinter hemorrages can be seen. | |||
*** Gangrene can also be seen. | |||
** Nodules | |||
*** Nodules are a rare finding. | |||
*** Most commonly seen on lower extremity. | |||
=== HEENT === | |||
* Polyarteritis nodosa may present with ophthalmologic symptoms like: | |||
** Retinal vasculitis | |||
** Retinal detachment | |||
** Cotton-wool spots | |||
=== Heart === | |||
* Cardiovascular examination of patients with polyarteritis nodosa shows: | |||
** Hypertension | |||
** Tachycardia | |||
** Pericardial friction rub | |||
** Arrhythmias | |||
** Congestive heart failure | |||
=== Abdomen === | |||
* Abdominal examination of patients with polyarteritis nodosa shows:<ref name="pmid11904113">{{cite journal |vauthors=Levine SM, Hellmann DB, Stone JH |title=Gastrointestinal involvement in polyarteritis nodosa (1986-2000): presentation and outcomes in 24 patients |journal=Am. J. Med. |volume=112 |issue=5 |pages=386–91 |date=April 2002 |pmid=11904113 |doi= |url=}}</ref> | |||
** Abdominal tenderness | |||
** Gastro-intestinal bleeding | |||
=== Genitourinary === | |||
* Genitourinary examination of patients with polyarteritis nodosa reveals testicular tenderness on palpation. | |||
=== Neuromuscular === | |||
* Neuromuscular examination of patients with polyarteritis nodosa shows:<ref name="pmid1979706">{{cite journal |vauthors=Rosenberg MR, Parshley M, Gibson S, Wernick R |title=Central nervous system polyarteritis nodosa |journal=West. J. Med. |volume=153 |issue=5 |pages=553–6 |date=November 1990 |pmid=1979706 |pmc=1002622 |doi= |url=}}</ref> | |||
** Sensory and/or motor neuropathies | |||
** Mononeuritis multiplex<ref name="pmid11723762">{{cite journal |vauthors=Griffin JW |title=Vasculitic neuropathies |journal=Rheum. Dis. Clin. North Am. |volume=27 |issue=4 |pages=751–60, vi |date=November 2001 |pmid=11723762 |doi= |url=}}</ref> | |||
*** Asymmetrical | |||
*** Nerves that are usually involved include: ulnar, radial,peroneal etc. | |||
==References== | ==References== | ||
Latest revision as of 17:26, 21 May 2018
|
Polyarteritis nodosa Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Polyarteritis nodosa physical examination On the Web |
|
American Roentgen Ray Society Images of Polyarteritis nodosa physical examination |
|
Risk calculators and risk factors for Polyarteritis nodosa physical examination |
- Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]
Overview
Physical examination plays an important role in diagnosing polyarteritis nodosa. Arteritis can be suspected with the presence of multiple mononeuropathies.Signs of ischemia such as extremity ischemia, hypertension and renovascular disease can help in diagnosing polyarteritis nodosa. Skin examination of patients with polyarteritis nodosa can show Livedo reticularis, ulceration, digital ischemia, and nodules. Polyarteritis nodosa may present with ophthalmologic symptoms like retinal vasculitis, retinal detachment and cotton-wool spots. Cardiovascular examination of patients with polyarteritis nodosa shows hypertension, tachycardia, pericardial friction rub, arrhythmias and congestive heart failure. Abdominal examination of patients with polyarteritis nodosa shows abdominal tenderness and gastro-intestinal bleeding. Neuromuscular examination of patients with polyarteritis nodosa shows sensory and/or motor neuropathies and mononeuritis multiplex.
Physical Examination
- Physical examination plays an important role in diagnosing polyarteritis nodosa.
- Arteritis can be suspected with the presence of multiple mononeuropathies.
- Signs of ischemia such as extremity ischemia, hypertension and renovascular disease can help in diagnosing polyarteritis nodosa.
Skin
- Skin examination of patients with polyarteritis nodosa can show:[1]
- Livedo reticularis
- Ulcerations
- Ulcers can be seen on the lower extremeties
- Digital ischemia
- Splinter hemorrages can be seen.
- Gangrene can also be seen.
- Nodules
- Nodules are a rare finding.
- Most commonly seen on lower extremity.
HEENT
- Polyarteritis nodosa may present with ophthalmologic symptoms like:
- Retinal vasculitis
- Retinal detachment
- Cotton-wool spots
Heart
- Cardiovascular examination of patients with polyarteritis nodosa shows:
- Hypertension
- Tachycardia
- Pericardial friction rub
- Arrhythmias
- Congestive heart failure
Abdomen
- Abdominal examination of patients with polyarteritis nodosa shows:[2]
- Abdominal tenderness
- Gastro-intestinal bleeding
Genitourinary
- Genitourinary examination of patients with polyarteritis nodosa reveals testicular tenderness on palpation.
Neuromuscular
- Neuromuscular examination of patients with polyarteritis nodosa shows:[3]
- Sensory and/or motor neuropathies
- Mononeuritis multiplex[4]
- Asymmetrical
- Nerves that are usually involved include: ulnar, radial,peroneal etc.
References
- ↑ Stone JH (October 2002). "Polyarteritis nodosa". JAMA. 288 (13): 1632–9. PMID 12350194.
- ↑ Levine SM, Hellmann DB, Stone JH (April 2002). "Gastrointestinal involvement in polyarteritis nodosa (1986-2000): presentation and outcomes in 24 patients". Am. J. Med. 112 (5): 386–91. PMID 11904113.
- ↑ Rosenberg MR, Parshley M, Gibson S, Wernick R (November 1990). "Central nervous system polyarteritis nodosa". West. J. Med. 153 (5): 553–6. PMC 1002622. PMID 1979706.
- ↑ Griffin JW (November 2001). "Vasculitic neuropathies". Rheum. Dis. Clin. North Am. 27 (4): 751–60, vi. PMID 11723762.