Acute tubular necrosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
On physical examination ,patients with acute tubular necrosis may show the findings of volume depletion. They usually appear ill, dehydrated and lethargic. Common physical examination findings of acute tubular necrosis include orthostatic hypotension and other signs of hypovolemia ( dry [[mucous membranes]], sunken eyes, poor skin turgor and [[Capillary refill time|delayed capillary refill]], and decreased [[jugular venous pressure]]). | On [[physical examination]] ,[[Patient|patients]] with acute tubular necrosis may show the findings of [[Hypovolemia|volume depletion]]. They usually appear [[Ill feeling|ill]], [[Dehydration|dehydrated]], and [[Fatigue|lethargic]]. Common [[physical examination]] findings of acute tubular necrosis include [[orthostatic hypotension]] and other signs of [[hypovolemia]] ( dry [[mucous membranes]], sunken [[Eye|eyes]], poor skin turgor and [[Capillary refill time|delayed capillary refill]], and decreased [[jugular venous pressure]]). | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 15:41, 2 May 2018
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Acute tubular necrosis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [2]
Overview
On physical examination ,patients with acute tubular necrosis may show the findings of volume depletion. They usually appear ill, dehydrated, and lethargic. Common physical examination findings of acute tubular necrosis include orthostatic hypotension and other signs of hypovolemia ( dry mucous membranes, sunken eyes, poor skin turgor and delayed capillary refill, and decreased jugular venous pressure).
Physical Examination
Appearance of the Patient
- Patients with acute tubular necrosis may appear ill, dehydrated, or lethargic depending on the severity of renal hypoperfusion and damage.
Vital Signs
Skin
- Skin examination of patients with acute tubular necrosis may show following findings:
- Diminished skin turgor
- Dry mucous membranes
- Delayed capillary refill
HEENT
Lungs
- Pulmonary examination of patients with acute tubular necrosis is usually normal.
- Tachypnea may be caused by metabolic acidosis as a result of severe volume depletion.
Heart
- Hypotension
- Tachycardia/ Bradycardia
- Decreased jugular venous pressure
Abdomen
Abdominal examination of patients with acute tubular necrosis may show following findings:
Neuromuscular
- Muscle weakness and convulsions because of moderate to severe electrolyte imbalance.
- Muscle tenderness