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{{Nephrotic syndrome}}
{{Nephrotic syndrome}}
{{CMG}}
{{CMG}}; {{AE}} [[User:YazanDaaboul|Yazan Daaboul]], [[User:Sergekorjian|Serge Korjian]]


==Overview==
==Overview==
A full physical examination should be performed among patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic [[rash]] in [[systemic lupus erythematosus]] (SLE), or [[peripheral neuropathy]] in [[diabetes mellitus]].
==Physical Examination==
==Physical Examination==
===Vitals===
===Vital Signs===
* [[Hypertension]] (rarely)
* [[High blood pressure]], more common in adults


===Skin===
===Skin===
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===Eyes===
===Eyes===
* Puffiness around the [[eyes]], characteristically in the morning
* [[Periorbital edema]]


===Lungs===
===Lungs===
* Fluid in the [[pleural cavity]] causing [[pleural effusion]].
*Pulmonary fine [[crackles]]
*Faint pulmonary auscultation, suggestive of [[pleural effusion]]
*Decreased [[tactile fremitus]]
*Dull percussion


===Abdomen===
===Abdomen===
* Fluid in the [[peritoneal cavity]] causing [[ascites]].
* [[Abdominal distension]]
*Shifting dullness, suggestive of [[ascites]]
*Dull percussion


===Extremities===
===Extremities===
* [[Edema]] over the [[leg]]s which is ''pitting'' (i.e. leaves a little pit when the fluid is pressed out, which resolves over a few seconds).
*[[Pitting edema]] in lower extremities bilaterally
 
===Neurologic===
* May have features of underlying cause, such as neuropathy with diabetes.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Kidney diseases]]
[[Category:Medicine]]
[[Category:Nephrology]]
[[Category:Nephrology]]
[[Category:Pediatrics]]
[[Category:Up-To-Date]]
[[Category:Disease]]
[[Category:Emergency medicine]]
[[Category:Syndromes]]
{{WH}}
{{WS}}

Latest revision as of 22:58, 29 July 2020

Nephrotic Syndrome Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian

Overview

A full physical examination should be performed among patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic rash in systemic lupus erythematosus (SLE), or peripheral neuropathy in diabetes mellitus.

Physical Examination

Vital Signs

Skin

  • May have features of underlying cause, such as rash associated with SLE

Eyes

Lungs

Abdomen

Extremities

References