Uveitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]

Physical examination

A complete medical history and comprehensive eye examination must be performed by an optometrist or ophthalmologist to properly diagnosis uveitis. The gold standard tests for diagnosing uveitis is a slit lamp test (REF)

Organ System	Findings	Suggestive of
General Appearance	Ill-appearing	Infectious or Inflammatory/Autoimmune etiology Masquerade syndromes
Vital Signs	Fever	Infectious or Inflammatory/Autoimmune etiology
	Tachycardia	Infectious or Inflammatory/Autoimmune etiology
	Tachypnea	Infectious etiology
Skin	Pallor	Anemia of chronic disease from any inflammatory condition Anemia of blood loss from inflammatory bowel disease
	Skin lesions (e.g., Erythema nodosum, Rash, etc.)	Sarcoidosis TINU syndrome Behcet's disease Systemic Lupus Erythematosus Juvenile Idiopathic Arthritis
Head	Deposition	Condensation
Eyes	Eye redness	Anterior uveitis, Panuveitis
	Eye pain	Anterior uveitis
	Increased intraocular pressure	Chronic anterior uveitis, Posterior, Intermediate or Panuveitis
	Decreased intraocular pressure	Acute anterior uveitis
	"Snowbanking" on dilated fundus exam	Intermediate uveitis, pars planitis
	Mutton Fat keratic precipitates	Granulomatous etiology (e.g., Sarcoid uveitis, Tuberculous uveitis)
	Optic disc edema	Posterior uveitis, panuveitis
	Ears	Deposition	Condensation
		Deposition	Condensation
		Deposition	Condensation
Nose	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Throat	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Neck	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Lungs	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Heart	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Abdomen	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Back	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Genitourinary	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Extremities	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation
Neuromuscular	Deposition	Condensation
	Deposition	Condensation
	Deposition	Condensation

Vital Signs

• Fever in infectious etiologies
• Fever in inflammatory causes
• Tachycardia

Skin

• Behcet's disease nodules
• Bacillary angiomatosis (Cat Scratch disease)

HEENT

Eyes

• Eye redness
• increased or decreased Itraocular pressure
• Mutton fat keratic precipitates
• Snowbanking
• optic disc edema

Lungs

• Sarcoidosis
• TB

Cardiovascular

• Behcet's disease

Abdomen

• Behcet's disease
• Crohn's disease
• Ulcerative colitis

Genitourinary

• Behcet's disease nodules
• Syphilitic condylomata lata
• Herpes simplex vesicular lesions

Musculoskeletal

• Arthritidies - JIA, HLA-B27
• Back stiffness - Ankylosing Spondylitis

Neurological

• Neurosyphilis
• Neurosarcoidosis