Goodpasture syndrome physical examination: Difference between revisions
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==Physical Examination== | |||
*The presence of tachypnea, inspiratory crackles, edema and hypertension on physical examination are suggestive of Goodpasture syndrome. | |||
===Appearance of the Patient=== | |||
*Patients with Goodpasture syndrome usually appear fatigued. | |||
===Vital Signs=== | |||
*Low-grade fever | |||
*[[Tachycardia]] | |||
*Tachypnea | |||
*High blood pressure | |||
===Skin=== | |||
* Skin examination of patients with severe Goodpasture syndrome may present with cyanosis from auto-antibodies induced lung tissue injury. | |||
===HEENT=== | |||
* HEENT examination of patients with Goodpasture syndrome is usually normal. | |||
===Lungs=== | |||
*Lungs are hyporresonant | |||
*Fine [[Crackles]] upon auscultation of the lung bases may be present unilaterally/bilaterally | |||
===Abdomen=== | |||
*[[Abdominal tenderness]] may be present over renal angles. | |||
*[[Hepatosplenomegaly]] (present in few cases) | |||
===Genitourinary=== | |||
* Hematuria may be observed. | |||
===Extremities=== | |||
* Extremities examination of patients with Goodpasture syndrome may present with: | |||
* [[Cyanosis]] | |||
*Pitting [[edema]] of the lower extremities | |||
==References== | ==References== | ||
Revision as of 03:05, 25 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2]Associate Editor(s)-in-Chief: Krzysztof Wierzbicki M.D. [3]
Overview
A complete medical history and comprehensive renal and pulmonary exam must be preformed to help identify and properly diagnose Goodpasture syndrome.
Physical Examination
A complete medical history and comprehensive renal and pulmonary exam must be preformed to help identify and properly diagnose Goodpasture syndrome. A thorough physical examination can provide insight into possible causes and associated underlying conditions. The following findings may be present during a physical examination of Goodpasture syndrome:[1]
- Hypertension
- Tachypnea
- Inspiratory crackles present in the base of the lungs
- Cyanosis
- Hepatosplenomegaly
- Rash
- Edema
Physical Examination
- The presence of tachypnea, inspiratory crackles, edema and hypertension on physical examination are suggestive of Goodpasture syndrome.
Appearance of the Patient
- Patients with Goodpasture syndrome usually appear fatigued.
Vital Signs
- Low-grade fever
- Tachycardia
- Tachypnea
- High blood pressure
Skin
- Skin examination of patients with severe Goodpasture syndrome may present with cyanosis from auto-antibodies induced lung tissue injury.
HEENT
- HEENT examination of patients with Goodpasture syndrome is usually normal.
Lungs
- Lungs are hyporresonant
- Fine Crackles upon auscultation of the lung bases may be present unilaterally/bilaterally
Abdomen
- Abdominal tenderness may be present over renal angles.
- Hepatosplenomegaly (present in few cases)
Genitourinary
- Hematuria may be observed.
Extremities
- Extremities examination of patients with Goodpasture syndrome may present with:
- Cyanosis
- Pitting edema of the lower extremities
References
- ↑ Greco A, Rizzo MI, De Virgilio A, Gallo A, Fusconi M, Pagliuca G; et al. (2015). "Goodpasture's syndrome: a clinical update". Autoimmun Rev. 14 (3): 246–53. doi:10.1016/j.autrev.2014.11.006. PMID 25462583.