Uveitis physical examination: Difference between revisions
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| Pallor || [[Anemia of chronic disease]] from any [[Autoimmune|inflammatory condition]]<br>[[Iron deficiency anemia|Anemia of blood loss]] from [[inflammatory bowel disease]] | | Pallor || [[Anemia of chronic disease]] from any [[Autoimmune|inflammatory condition]]<br>[[Iron deficiency anemia|Anemia of blood loss]] from [[inflammatory bowel disease]] | ||
|- | |- | ||
| Skin lesions<br> (e.g., Erythema nodosum, Rash, etc.) || Sarcoidosis<br>TINU syndrome<br>Behcet's disease<br>Systemic Lupus Erythematosus<br>Juvenile Idiopathic Arthritis | | [[Skin lesions]]<br> (e.g., [[Erythema nodosum]], [[Rash]], etc.) || [[Sarcoidosis]]<br>TINU syndrome<br>[[Behcet's disease]]<br>[[Systemic Lupus Erythematosus]]<br>[[Juvenile Idiopathic Arthritis]] | ||
|- | |- | ||
! rowspan="6" style="border: 1; background: none;"| Eyes | ! rowspan="6" style="border: 1; background: none;"| Eyes | ||
| Eye redness || Anterior uveitis, Panuveitis | | [[Eye redness]] || Anterior uveitis, Panuveitis | ||
|- | |- | ||
| Increased intraocular pressure || Chronic anterior uveitis, Posterior, Intermediate or Panuveitis | | Increased [[intraocular pressure]] || Chronic anterior uveitis, Posterior, Intermediate or Panuveitis | ||
|- | |- | ||
| Decreased intraocular pressure || Acute anterior uveitis | | Decreased [[intraocular pressure]] || Acute anterior uveitis | ||
|- | |- | ||
| "Snowbanking" on dilated fundus exam || Intermediate uveitis, pars planitis | | "Snowbanking" on dilated fundus exam || [[Intermediate uveitis]], pars planitis | ||
|- | |- | ||
| Mutton Fat keratic precipitates || Granulomatous etiology (e.g., Sarcoid uveitis, Tuberculous uveitis) | | Mutton Fat keratic precipitates || [[Granulomatous]] etiology (e.g., Sarcoid uveitis, Tuberculous uveitis) | ||
|- | |- | ||
| Optic disc edema || Posterior uveitis, panuveitis | | [[Optic disc]] edema || Posterior uveitis, panuveitis | ||
|- | |- | ||
! rowspan="1" style="border: 1; background: none;"| Ears | ! rowspan="1" style="border: 1; background: none;"| Ears | ||
| Tinnitus || multiple sclerosis, sarcoidosis | | [[Tinnitus]] || [[multiple sclerosis]], [[sarcoidosis]] | ||
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! rowspan="1" style="border: 1; background: none;"| Neck | ! rowspan="1" style="border: 1; background: none;"| Neck | ||
| Neck stiffness || Ankylosing spondylitis, multiple sclerosis, seronegative spondyloarthropathies | | Neck stiffness || [[Ankylosing spondylitis]], [[multiple sclerosis]], [[seronegative spondyloarthropathies]] | ||
|- | |- | ||
! rowspan="2" style="border: 1; background: none;"| Lungs | ! rowspan="2" style="border: 1; background: none;"| Lungs | ||
| Cough || Tuberculosis, Sarcoidosis | | [[Cough]] || [[Tuberculosis]], [[Sarcoidosis]] | ||
|- | |- | ||
| Hemoptysis || Tuberculosis, Sarcoidosis | | [[Hemoptysis]] || [[Tuberculosis]], [[Sarcoidosis]] | ||
|- | |- | ||
! rowspan="2" style="border: 1; background: none;"| Heart | ! rowspan="2" style="border: 1; background: none;"| Heart | ||
| Arrhythmia || Behcet's disease, Sarcoidosis, Tuberculosis | | [[Arrhythmia]] || [[Behcet's disease]], [[Sarcoidosis]], [[Tuberculosis]] | ||
|- | |- | ||
| Murmur || Behcet's disease, Sarcoidosis, | | [[Murmur]] || [[Behcet's disease]], [[Sarcoidosis]], [[Anemia]] | ||
|- | |- | ||
! rowspan="3" style="border: 1; background: none;"| Abdomen | ! rowspan="3" style="border: 1; background: none;"| Abdomen | ||
| Abdominal Tenderness || Inflammatory bowel disease, Behcet's disease | | Abdominal Tenderness || [[Inflammatory bowel disease]], [[Behcet's disease]] | ||
|- | |- | ||
| Palpable mass || Inflammatory bowel disease, Behcet's disease | | Palpable abdominal mass || [[Inflammatory bowel disease]], [[Behcet's disease]] | ||
|- | |- | ||
| Hematochezia on rectal exam || Inflammatory bowel disease | | [[Hematochezia]] on [[rectal exam]] || [[Inflammatory bowel disease]] | ||
|- | |- | ||
! rowspan="2" style="border: 1; background: none;"| Back | ! rowspan="2" style="border: 1; background: none;"| Back | ||
| Tenderness over lumbosacaral spine || Ankylosing spondylitis | | Tenderness over lumbosacaral spine || [[Ankylosing spondylitis]] | ||
|- | |- | ||
| Decreased range of motion of spine|| Ankylosing spondylitis | | Decreased range of motion of spine|| [[Ankylosing spondylitis]] | ||
|- | |- | ||
! rowspan="3" style="border: 1; background: none;"| Genitourinary | ! rowspan="3" style="border: 1; background: none;"| Genitourinary | ||
| Genital ulceration|| Behcet's disease | | [[Genital ulceration]]|| [[Behcet's disease]] | ||
|- | |- | ||
| Genital warts || Syphilitis uveitis | | [[Genital warts]] || [[Syphilitis uveitis]] | ||
|- | |- | ||
| Genital vesicular lesions || Herpitic uveitis | | [[Genital vesicular lesions]] || [[Herpitic uveitis]] | ||
|- | |- | ||
! rowspan="1" style="border: 1; background: none;"| Extremities | ! rowspan="1" style="border: 1; background: none;"| Extremities | ||
Revision as of 14:55, 4 August 2016
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Uveitis Microchapters |
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Treatment |
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Case Studies |
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Uveitis physical examination On the Web |
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American Roentgen Ray Society Images of Uveitis physical examination |
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Risk calculators and risk factors for Uveitis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
A complete medical history and comprehensive eye examination must be performed by an optometrist or ophthalmologist to properly diagnosis uveitis. A thorough physical examination can provide insight into the cause, and associated underlying conditions.
Physical examination
A complete medical history and comprehensive eye examination must be performed by an optometrist or ophthalmologist to properly diagnosis uveitis. A thorough physical examination can provide insight into the cause, and associated underlying conditions. The following findings may be found on physical examination:
| 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 | |||
| Eyes | Eye redness | Anterior uveitis, Panuveitis | ||
| 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 | Tinnitus | multiple sclerosis, sarcoidosis | ||
| Neck | Neck stiffness | Ankylosing spondylitis, multiple sclerosis, seronegative spondyloarthropathies | ||
| Lungs | Cough | Tuberculosis, Sarcoidosis | ||
| Hemoptysis | Tuberculosis, Sarcoidosis | |||
| Heart | Arrhythmia | Behcet's disease, Sarcoidosis, Tuberculosis | ||
| Murmur | Behcet's disease, Sarcoidosis, Anemia | |||
| Abdomen | Abdominal Tenderness | Inflammatory bowel disease, Behcet's disease | ||
| Palpable abdominal mass | Inflammatory bowel disease, Behcet's disease | |||
| Hematochezia on rectal exam | Inflammatory bowel disease | |||
| Back | Tenderness over lumbosacaral spine | Ankylosing spondylitis | ||
| Decreased range of motion of spine | Ankylosing spondylitis | |||
| Genitourinary | Genital ulceration | Behcet's disease | ||
| Genital warts | Syphilitis uveitis | |||
| Genital vesicular lesions | Herpitic uveitis | |||
| Extremities | Joint stiffness and swelling | Seronegative spondyloarthropathies, HLA-B27 related uveitis, Reiter's syndrome | ||
| Neurological | Parasthesia | Syphilis, multiple sclerosis | ||
| Gait abnormalities/Ataxia | Syphilis, multiple sclerosis | |||
| Cranial nerve abnormalities | Sarcoidosis, multiple sclerosis | |||