Undifferentiated connective tissue disease physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with UCTD usually appear well but can present with low-grade [[fever]], [[Raynaud's phenomenon]], [[Rash|rash and]] [[Erythema nodosum]]. On HEENT examination, [[Conjunctivitis]], [[Uveitis]], [[Keratoconjunctivitis sicca]][[Dry-mouth|, dry-mouth]] can be seen. In the neck, [[lymphadenopathy]] can be seen. Rhonchi, [[Wheezing]][[Pleural friction rub|, pleural friction rub]] and [[Pericardial friction rub]] can be heard on auscultation. On examining abdomen, [[tenderness]] in the right/left upper/lower abdominal quadrant and [[hepatomegaly]] may be noted. In the back, tenderness over the lumbar vertebrae can occur and sacral [[edema]] may be seen. [[Rashes|Rash]] can be seen in the genitourinary exam. The patient can have [[altered mental status]] with [[psychosis]] and [[peripheral neuropathy]] and pitting/non-pitting [[edema]] of the lower extremities. | |||
==Physical Examination== | ==Physical Examination== | ||
*The presence of following findings on physical examination is highly suggestive of undifferentiated connective tissue disease(UCTD):<ref name="pmid12846049">{{cite journal |vauthors=Bodolay E, Csiki Z, Szekanecz Z, Ben T, Kiss E, Zeher M, Szücs G, Dankó K, Szegedi G |title=Five-year follow-up of 665 Hungarian patients with undifferentiated connective tissue disease (UCTD) |journal=Clin. Exp. Rheumatol. |volume=21 |issue=3 |pages=313–20 |date=2003 |pmid=12846049 |doi= |url=}}</ref><ref name="pmid17110308">{{cite journal |vauthors=Mosca M, Tani C, Neri C, Baldini C, Bombardieri S |title=Undifferentiated connective tissue diseases (UCTD) |journal=Autoimmun Rev |volume=6 |issue=1 |pages=1–4 |date=November 2006 |pmid=17110308 |doi=10.1016/j.autrev.2006.03.004 |url=}}</ref><ref name="pmid10544849">{{cite journal |vauthors=Mosca M, Neri R, Bombardieri S |title=Undifferentiated connective tissue diseases (UCTD): a review of the literature and a proposal for preliminary classification criteria |journal=Clin. Exp. Rheumatol. |volume=17 |issue=5 |pages=615–20 |date=1999 |pmid=10544849 |doi= |url=}}</ref> | |||
===Appearance of the Patient=== | |||
*Patients with UCTD usually appear well.. | |||
===Vital Signs=== | |||
*Low-grade [[fever]] | |||
===Skin=== | |||
*[[Raynaud's phenomenon]] | |||
*[[Rash]] | |||
*[[Erythema nodosum]] | |||
===HEENT=== | |||
* [[Conjunctivitis]] | |||
* [[Uveitis]] | |||
* [[Keratoconjunctivitis sicca]] | |||
* [[Dry-mouth]] | |||
===Neck=== | |||
* [[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry) | |||
===Lungs=== | |||
* Rhonchi | |||
*[[Wheezing]] may be present | |||
*[[Pleural friction rub]] | |||
===Heart=== | |||
* [[Pericardial friction rub]] | |||
===Abdomen=== | |||
*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant | |||
*[[Rebound tenderness]] | |||
*[[Hepatomegaly]] | |||
===Back=== | |||
*Tenderness over lumbar vertebrae can occur | |||
*Sacral [[edema]] may be seen | |||
===Genitourinary=== | |||
*[[Rashes]] can be seen | |||
===Neuromuscular=== | |||
* Altered mental status with psychosis | |||
* [[Peripheral neuropathy]] | |||
===Extremities=== | |||
*Pitting/non-pitting [[edema]] of the lower extremities. | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
Latest revision as of 18:23, 30 May 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Patients with UCTD usually appear well but can present with low-grade fever, Raynaud's phenomenon, rash and Erythema nodosum. On HEENT examination, Conjunctivitis, Uveitis, Keratoconjunctivitis sicca, dry-mouth can be seen. In the neck, lymphadenopathy can be seen. Rhonchi, Wheezing, pleural friction rub and Pericardial friction rub can be heard on auscultation. On examining abdomen, tenderness in the right/left upper/lower abdominal quadrant and hepatomegaly may be noted. In the back, tenderness over the lumbar vertebrae can occur and sacral edema may be seen. Rash can be seen in the genitourinary exam. The patient can have altered mental status with psychosis and peripheral neuropathy and pitting/non-pitting edema of the lower extremities.
Physical Examination
- The presence of following findings on physical examination is highly suggestive of undifferentiated connective tissue disease(UCTD):[1][2][3]
Appearance of the Patient
- Patients with UCTD usually appear well..
Vital Signs
- Low-grade fever
Skin
HEENT
Neck
- Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
Lungs
- Rhonchi
- Wheezing may be present
- Pleural friction rub
Heart
Abdomen
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness
- Hepatomegaly
Back
- Tenderness over lumbar vertebrae can occur
- Sacral edema may be seen
Genitourinary
- Rashes can be seen
Neuromuscular
- Altered mental status with psychosis
- Peripheral neuropathy
Extremities
- Pitting/non-pitting edema of the lower extremities.
References
- ↑ Bodolay E, Csiki Z, Szekanecz Z, Ben T, Kiss E, Zeher M, Szücs G, Dankó K, Szegedi G (2003). "Five-year follow-up of 665 Hungarian patients with undifferentiated connective tissue disease (UCTD)". Clin. Exp. Rheumatol. 21 (3): 313–20. PMID 12846049.
- ↑ Mosca M, Tani C, Neri C, Baldini C, Bombardieri S (November 2006). "Undifferentiated connective tissue diseases (UCTD)". Autoimmun Rev. 6 (1): 1–4. doi:10.1016/j.autrev.2006.03.004. PMID 17110308.
- ↑ Mosca M, Neri R, Bombardieri S (1999). "Undifferentiated connective tissue diseases (UCTD): a review of the literature and a proposal for preliminary classification criteria". Clin. Exp. Rheumatol. 17 (5): 615–20. PMID 10544849.