Polyarteritis nodosa physical examination: Difference between revisions
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*** Nodules are a rare finding. | *** Nodules are a rare finding. | ||
*** Most commonly seen on lower extremity. | *** Most commonly seen on lower extremity. | ||
=== HEENT === | |||
* PAN may present with ophthalmologic symptoms like: | |||
** Retinal vasculitis | |||
** Retinal detachment | |||
** Cotton-wool spots | |||
=== Heart === | |||
* Cardiovascular examination of patients with PAN shows: | |||
** Hypertension | |||
** Tachycardia | |||
** Pericardial friction rub | |||
** Arrhythmias | |||
** Congestive heart failure | |||
=== Abdomen === | |||
* Abdominal examination of patients with PAN shows:<ref name="pmid11904113">{{cite journal |vauthors=Levine SM, Hellmann DB, Stone JH |title=Gastrointestinal involvement in polyarteritis nodosa (1986-2000): presentation and outcomes in 24 patients |journal=Am. J. Med. |volume=112 |issue=5 |pages=386–91 |date=April 2002 |pmid=11904113 |doi= |url=}}</ref> | |||
** Abdominal tenderness | |||
** Gastro-intestinal bleeding | |||
==References== | ==References== |
Revision as of 18:55, 17 May 2018
Polyarteritis nodosa Microchapters |
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Polyarteritis nodosa physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Haritha Machavarapu, M.B.B.S.
Overview
Physical Examination
- Physical examination plays an important role in diagnosing PAN.
- Arteritis can be suspected with the presence of multiple mononeuropathies.
- Signs of ischemia such as extremity ischemia, hypertension and renovascular disease can help in diagnosing PAN.
Skin
- Skin examination of patients with PAN can show:[1]
- Livedo reticularis
- Ulcerations
- Ulcers can be seen on the lower extremeties
- Digital ischemia
- Splinter hemorrages can be seen.
- Gangrene can also be seen.
- Nodules
- Nodules are a rare finding.
- Most commonly seen on lower extremity.
HEENT
- PAN may present with ophthalmologic symptoms like:
- Retinal vasculitis
- Retinal detachment
- Cotton-wool spots
Heart
- Cardiovascular examination of patients with PAN shows:
- Hypertension
- Tachycardia
- Pericardial friction rub
- Arrhythmias
- Congestive heart failure
Abdomen
- Abdominal examination of patients with PAN shows:[2]
- Abdominal tenderness
- Gastro-intestinal bleeding