Capillary leak syndrome physical examination: Difference between revisions
Jump to navigation
Jump to search
Jose Loyola (talk | contribs) No edit summary |
|||
| (9 intermediate revisions by one other user not shown) | |||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
Patients with capillary leak syndrome present with generalized edema, weight gain, fatigue, and body aches. Physical examination is remarkable from hypotension, rash, pruritus, flushing, jaw claudication. Lung examination may reveal wheezing and prolonged expiratory phase. Cardiac examination may reveal tachycardia, weak peripheral pulses, muffled heart sounds on auscultation due to underlying pericardial effusion, pulsus paradoxus, and pericardial friction rub. The patient may also present with abdominal distention, tenderness, and fluid thrill. | |||
==Physical Examination== | ==Physical Examination== | ||
Patient with capillary leak syndrome usually presents with generalized edema fatigued, and body aches<ref name="pmid20634497">{{cite journal| author=Kapoor P, Greipp PT, Schaefer EW, Mandrekar SJ, Kamal AH, Gonzalez-Paz NC | display-authors=etal| title=Idiopathic systemic capillary leak syndrome (Clarkson's disease): the Mayo clinic experience. | journal=Mayo Clin Proc | year= 2010 | volume= 85 | issue= 10 | pages= 905-12 | pmid=20634497 | doi=10.4065/mcp.2010.0159 | pmc=2947962 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20634497 }}</ref>. Physical examination is usually remarkable for hypotension, pleural and pericardial effusion. | Patient with capillary leak syndrome usually presents with generalized edema fatigued, and body aches<ref name="pmid20634497">{{cite journal| author=Kapoor P, Greipp PT, Schaefer EW, Mandrekar SJ, Kamal AH, Gonzalez-Paz NC | display-authors=etal| title=Idiopathic systemic capillary leak syndrome (Clarkson's disease): the Mayo clinic experience. | journal=Mayo Clin Proc | year= 2010 | volume= 85 | issue= 10 | pages= 905-12 | pmid=20634497 | doi=10.4065/mcp.2010.0159 | pmc=2947962 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20634497 }}</ref>. Physical examination is usually remarkable for hypotension, pleural and pericardial effusion.<ref name="pmid20634497">{{cite journal| author=Kapoor P, Greipp PT, Schaefer EW, Mandrekar SJ, Kamal AH, Gonzalez-Paz NC | display-authors=etal| title=Idiopathic systemic capillary leak syndrome (Clarkson's disease): the Mayo clinic experience. | journal=Mayo Clin Proc | year= 2010 | volume= 85 | issue= 10 | pages= 905-12 | pmid=20634497 | doi=10.4065/mcp.2010.0159 | pmc=2947962 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20634497 }} </ref> | ||
===Appearence of the Patient=== | ===Appearence of the Patient=== | ||
| Line 21: | Line 22: | ||
*Generalized [[edema]] or [[anasarca]] | *Generalized [[edema]] or [[anasarca]] | ||
*Rash | *Rash | ||
*Pruritus | |||
*Flushing | |||
===HEENT=== | ===HEENT=== | ||
* | *Jaw claudication | ||
===Neck=== | ===Neck=== | ||
* | *Unremarkable | ||
===Lungs=== | ===Lungs=== | ||
| Line 39: | Line 42: | ||
===Heart=== | ===Heart=== | ||
* | *Tachycardia | ||
*Weak peripheral pulses | |||
*Muffled heart sounds on auscultation due to underlying pericardial effusion | |||
*Pulsus Paradoxus | |||
*Pericardial friction rub | |||
===Abdomen=== | ===Abdomen=== | ||
*Abdominal tenderness | |||
*Abdominal distention | |||
* | *Fluid thrill | ||
* | * | ||
| Line 60: | Line 58: | ||
===Extremities=== | ===Extremities=== | ||
* | *Generalized edema | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
| Line 75: | Line 68: | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs English Review]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Latest revision as of 15:27, 18 August 2022
|
Capillary leak syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Capillary leak syndrome physical examination On the Web |
|
American Roentgen Ray Society Images of Capillary leak syndrome physical examination |
|
Risk calculators and risk factors for Capillary leak syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: M. Hassan, M.B.B.S
Overview
Patients with capillary leak syndrome present with generalized edema, weight gain, fatigue, and body aches. Physical examination is remarkable from hypotension, rash, pruritus, flushing, jaw claudication. Lung examination may reveal wheezing and prolonged expiratory phase. Cardiac examination may reveal tachycardia, weak peripheral pulses, muffled heart sounds on auscultation due to underlying pericardial effusion, pulsus paradoxus, and pericardial friction rub. The patient may also present with abdominal distention, tenderness, and fluid thrill.
Physical Examination
Patient with capillary leak syndrome usually presents with generalized edema fatigued, and body aches[1]. Physical examination is usually remarkable for hypotension, pleural and pericardial effusion.[1]
Appearence of the Patient
- Partial or generalized edema may be seen.
- Weight gain
Vitals
Skin
HEENT
- Jaw claudication
Neck
- Unremarkable
Lungs
- Wheezing may be present
- Prolonged expiratory phase
Heart
- Tachycardia
- Weak peripheral pulses
- Muffled heart sounds on auscultation due to underlying pericardial effusion
- Pulsus Paradoxus
- Pericardial friction rub
Abdomen
- Abdominal tenderness
- Abdominal distention
- Fluid thrill
Extremities
- Generalized edema
References
- ↑ 1.0 1.1 Kapoor P, Greipp PT, Schaefer EW, Mandrekar SJ, Kamal AH, Gonzalez-Paz NC; et al. (2010). "Idiopathic systemic capillary leak syndrome (Clarkson's disease): the Mayo clinic experience". Mayo Clin Proc. 85 (10): 905–12. doi:10.4065/mcp.2010.0159. PMC 2947962. PMID 20634497.