IgA nephropathy physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{IgA nephropathy}} | {{IgA nephropathy}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{SH}} | ||
==Overview== | ==Overview== | ||
Patients with | Patients with IgA nephropathy usually appear normal and usually have no significant clinical finding upon physical examination. However, some of the patients may present with low-grade [[fever]], [[Hypertension|high blood pressure]] with normal [[pulse pressure]], and pitting [[edema]] of the lower extremities in the late stage if the patient develops [[ESRD]]. | ||
==Physical Examination== | ==Physical Examination== | ||
* Physical examination of patients with IgA nephropathy is usually normal. | * Physical examination of patients with IgA nephropathy is usually normal.<ref name="pmid7723227">{{cite journal |vauthors=Galla JH |title=IgA nephropathy |journal=Kidney Int. |volume=47 |issue=2 |pages=377–87 |date=February 1995 |pmid=7723227 |doi= |url=}}</ref><ref name="pmid12213946">{{cite journal |vauthors=Donadio JV, Grande JP |title=IgA nephropathy |journal=N. Engl. J. Med. |volume=347 |issue=10 |pages=738–48 |date=September 2002 |pmid=12213946 |doi=10.1056/NEJMra020109 |url=}}</ref><ref name="pmid15524056">{{cite journal |vauthors=Hall CL, Bradley R, Kerr A, Attoti R, Peat D |title=Clinical value of renal biopsy in patients with asymptomatic microscopic hematuria with and without low-grade proteinuria |journal=Clin. Nephrol. |volume=62 |issue=4 |pages=267–72 |date=October 2004 |pmid=15524056 |doi= |url=}}</ref><ref name="pmid8041865">{{cite journal |vauthors=Topham PS, Harper SJ, Furness PN, Harris KP, Walls J, Feehally J |title=Glomerular disease as a cause of isolated microscopic haematuria |journal=Q. J. Med. |volume=87 |issue=6 |pages=329–35 |date=June 1994 |pmid=8041865 |doi= |url=}}</ref><ref name="GutierrezGonzalez2006">{{cite journal|last1=Gutierrez|first1=E.|last2=Gonzalez|first2=E.|last3=Hernandez|first3=E.|last4=Morales|first4=E.|last5=Martinez|first5=M. A.|last6=Usera|first6=G.|last7=Praga|first7=M.|title=Factors That Determine an Incomplete Recovery of Renal Function in Macrohematuria-Induced Acute Renal Failure of IgA Nephropathy|journal=Clinical Journal of the American Society of Nephrology|volume=2|issue=1|year=2006|pages=51–57|issn=1555-9041|doi=10.2215/CJN.02670706}}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
| Line 25: | Line 13: | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Low-grade fever | *Low-grade [[fever]] | ||
*High blood pressure with normal pulse pressure | *[[Hypertension|High blood pressure]] with normal [[pulse pressure]] | ||
===Skin=== | ===Skin=== | ||
| Line 41: | Line 29: | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with | * Cardiovascular examination of patients with IgA nephropathy is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
Abdominal examination of patients with | * Abdominal examination of patients with IgA nephropathy is usually normal. | ||
===Back=== | ===Back=== | ||
* Back examination of patients with | * Back examination of patients with IgA nephropathy is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with | * Genitourinary examination of patients with IgA nephropathy is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with | * Neuromuscular examination of patients with IgA nephropathy is usually normal. | ||
===Extremities=== | ===Extremities=== | ||
*Pitting [[edema]] of the lower extremities develops in late stage, if the patient develops [[ESRD]] | |||
*Pitting | |||
==References== | ==References== | ||
Latest revision as of 13:40, 4 June 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]
Overview
Patients with IgA nephropathy usually appear normal and usually have no significant clinical finding upon physical examination. However, some of the patients may present with low-grade fever, high blood pressure with normal pulse pressure, and pitting edema of the lower extremities in the late stage if the patient develops ESRD.
Physical Examination
Appearance of the Patient
- Patients with IgA nephropathy usually appear normal.
Vital Signs
- Low-grade fever
- High blood pressure with normal pulse pressure
Skin
- Skin examination of patients with IgA nephropathy is usually normal.
HEENT
- HEENT examination of patients with IgA nephropathy is usually normal.
Neck
- Neck examination of patients with IgA nephropathy is usually normal.
Lungs
- Pulmonary examination of patients with IgA nephropathy is usually normal.
Heart
- Cardiovascular examination of patients with IgA nephropathy is usually normal.
Abdomen
- Abdominal examination of patients with IgA nephropathy is usually normal.
Back
- Back examination of patients with IgA nephropathy is usually normal.
Genitourinary
- Genitourinary examination of patients with IgA nephropathy is usually normal.
Neuromuscular
- Neuromuscular examination of patients with IgA nephropathy is usually normal.
Extremities
References
- ↑ Galla JH (February 1995). "IgA nephropathy". Kidney Int. 47 (2): 377–87. PMID 7723227.
- ↑ Donadio JV, Grande JP (September 2002). "IgA nephropathy". N. Engl. J. Med. 347 (10): 738–48. doi:10.1056/NEJMra020109. PMID 12213946.
- ↑ Hall CL, Bradley R, Kerr A, Attoti R, Peat D (October 2004). "Clinical value of renal biopsy in patients with asymptomatic microscopic hematuria with and without low-grade proteinuria". Clin. Nephrol. 62 (4): 267–72. PMID 15524056.
- ↑ Topham PS, Harper SJ, Furness PN, Harris KP, Walls J, Feehally J (June 1994). "Glomerular disease as a cause of isolated microscopic haematuria". Q. J. Med. 87 (6): 329–35. PMID 8041865.
- ↑ Gutierrez, E.; Gonzalez, E.; Hernandez, E.; Morales, E.; Martinez, M. A.; Usera, G.; Praga, M. (2006). "Factors That Determine an Incomplete Recovery of Renal Function in Macrohematuria-Induced Acute Renal Failure of IgA Nephropathy". Clinical Journal of the American Society of Nephrology. 2 (1): 51–57. doi:10.2215/CJN.02670706. ISSN 1555-9041.