Caplans syndrome physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}} | {{CMG}} | ||
{{Caplans syndrome}} | {{Caplans syndrome}} {{AE}} {{SharmiB}} | ||
==Overview== | ==Overview== | ||
Common [[physical examination]] findings of [[Caplan's Syndrome|Caplan Syndrome]] include typical [[Rheumatoid arthritis]] features as [[swollen]], tender [[metacarpophalangeal]] and [[proximal interphalangeal joints]]. [[Pulmonary]] findings might include [[wheeze]], [[crackles]] not improving with [[coughing]]. | Common [[physical examination]] findings of [[Caplan's Syndrome|Caplan Syndrome]] include typical [[Rheumatoid arthritis]] features as [[swollen]], tender [[metacarpophalangeal]] and [[proximal interphalangeal joints]]. [[Pulmonary]] findings might include [[wheeze]], [[crackles]] not improving with [[coughing]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Most of the patients with [[Caplan's Syndrome|Caplan Syndrome]] are [[asymptomatic]]. But following can be found on [[physical examination]]. <ref name="SchreiberKoschel2010">{{cite journal|last1=Schreiber|first1=J.|last2=Koschel|first2=D.|last3=Kekow|first3=J.|last4=Waldburg|first4=N.|last5=Goette|first5=A.|last6=Merget|first6=R.|title=Rheumatoid pneumoconiosis (Caplan's syndrome)|journal=European Journal of Internal Medicine|volume=21|issue=3|year=2010|pages=168–172|issn=09536205|doi=10.1016/j.ejim.2010.02.004}}</ref> <ref name="pmidPMID: 29763061.">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=PMID: 29763061. | doi= | pmc= | url= }} </ref> | |||
Most of the patients with [[Caplan's Syndrome|Caplan Syndrome]] are [[asymptomatic]]. But following can be found on [[physical examination]]. <ref name="SchreiberKoschel2010">{{cite journal|last1=Schreiber|first1=J.|last2=Koschel|first2=D.|last3=Kekow|first3=J.|last4=Waldburg|first4=N.|last5=Goette|first5=A.|last6=Merget|first6=R.|title=Rheumatoid pneumoconiosis (Caplan's syndrome)|journal=European Journal of Internal Medicine|volume=21|issue=3|year=2010|pages=168–172|issn=09536205|doi=10.1016/j.ejim.2010.02.004}}</ref> | |||
. [[Rheumatoid nodules]]. | . [[Rheumatoid nodules]]. | ||
. Swollen, tender [[metacarpophalangeal]] joints and [[interphalangeal joints]]. | . Swollen, tender [[metacarpophalangeal]] joints and [[interphalangeal joints]]. | ||
[[File:Hand features in caplan syndrome.jpeg|center|thumb|477x477px|<ref name="AlayaBraham2018">{{cite journal|last1=Alaya|first1=Zeineb|last2=Braham|first2=Mouna|last3=Aissa|first3=Sana|last4=Kalboussi|first4=Houda|last5=Bouajina|first5=Elyès|title=A case of Caplan syndrome in a recently diagnosed patient with silicosis: A case report|journal=Radiology Case Reports|volume=13|issue=3|year=2018|pages=663–666|issn=19300433|doi=10.1016/j.radcr.2018.03.004}}</ref>]] | |||
. [[Wheeze]] and [[crackles]] in chest. | . [[Wheeze]] and [[crackles]] in chest. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with [[Caplan's Syndrome|Caplan Syndrome]] usually appear normal. | |||
*Patients with [[Caplan's Syndrome|Caplan Syndrome]] usually appear normal. | |||
===Vital Signs=== | ===Vital Signs=== | ||
| Line 25: | Line 26: | ||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
*Skin examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
*HEENT examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
===Neck=== | ===Neck=== | ||
* [[Neck]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
*[[Neck]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
===Lungs=== | ===Lungs=== | ||
* [[Auscultation]] may reveal diffuse [[râles]] that do not disappear on coughing or taking a deep breath. | |||
*[[Auscultation]] may reveal diffuse [[râles]] that do not disappear on coughing or taking a deep breath. | |||
===Extremities=== | ===Extremities=== | ||
* Tender, swollen [[MCP joints]] and [[rheumatoid nodules]] | |||
*Tender, swollen [[MCP joints]] and [[rheumatoid nodules]] | |||
===Heart=== | ===Heart=== | ||
* [[Cardiovascular]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually [[normal]]. | |||
*[[Cardiovascular]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually [[normal]]. | |||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
*Abdominal examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
===Back=== | ===Back=== | ||
* Back examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
*Back examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually normal. | |||
===Genitourinary=== | ===Genitourinary=== | ||
* [[Genitourinary]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually [[normal]]. | |||
*[[Genitourinary]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually [[normal]]. | |||
===Neuromuscular=== | ===Neuromuscular=== | ||
* [[Neuromuscular]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually [[normal]]. | |||
*[[Neuromuscular]] examination of patients with [[Caplan's Syndrome|Caplan Syndrome]] is usually [[normal]]. | |||
==References== | ==References== | ||
Latest revision as of 02:18, 21 June 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Associate Editor(s)-in-Chief: Sharmi Biswas, M.B.B.S
Overview
Common physical examination findings of Caplan Syndrome include typical Rheumatoid arthritis features as swollen, tender metacarpophalangeal and proximal interphalangeal joints. Pulmonary findings might include wheeze, crackles not improving with coughing.
Physical Examination
Most of the patients with Caplan Syndrome are asymptomatic. But following can be found on physical examination. [1] [2]
. Swollen, tender metacarpophalangeal joints and interphalangeal joints.
. Wheeze and crackles in chest.
Appearance of the Patient
- Patients with Caplan Syndrome usually appear normal.
Vital Signs
Vital signs in patients with Caplan Syndrome are usually normal.
Skin
- Skin examination of patients with Caplan Syndrome is usually normal.
HEENT
- HEENT examination of patients with Caplan Syndrome is usually normal.
Neck
- Neck examination of patients with Caplan Syndrome is usually normal.
Lungs
- Auscultation may reveal diffuse râles that do not disappear on coughing or taking a deep breath.
Extremities
- Tender, swollen MCP joints and rheumatoid nodules
Heart
- Cardiovascular examination of patients with Caplan Syndrome is usually normal.
Abdomen
- Abdominal examination of patients with Caplan Syndrome is usually normal.
Back
- Back examination of patients with Caplan Syndrome is usually normal.
Genitourinary
- Genitourinary examination of patients with Caplan Syndrome is usually normal.
Neuromuscular
- Neuromuscular examination of patients with Caplan Syndrome is usually normal.
References
- ↑ Schreiber, J.; Koschel, D.; Kekow, J.; Waldburg, N.; Goette, A.; Merget, R. (2010). "Rheumatoid pneumoconiosis (Caplan's syndrome)". European Journal of Internal Medicine. 21 (3): 168–172. doi:10.1016/j.ejim.2010.02.004. ISSN 0953-6205.
- ↑ "StatPearls". 2021. PMID 29763061. PMID: 29763061. Check
|pmid=value (help). - ↑ Alaya, Zeineb; Braham, Mouna; Aissa, Sana; Kalboussi, Houda; Bouajina, Elyès (2018). "A case of Caplan syndrome in a recently diagnosed patient with silicosis: A case report". Radiology Case Reports. 13 (3): 663–666. doi:10.1016/j.radcr.2018.03.004. ISSN 1930-0433.