Vasculitis physical examination: Difference between revisions
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====Blood Pressure==== | ====Blood Pressure==== | ||
* At least 10 mmHg [[cardiac cycle|systolic]] difference in both arms - in [[Takayasu arteritis]] | * At least 10 mmHg [[cardiac cycle|systolic]] difference in both arms - in [[Takayasu arteritis]] | ||
===Skin=== | ===Skin=== | ||
* Palpable [[purpura]] - if patients have this in isolation, it is most likely due to cutaneous leukocytoclastic vasculitis. If the purpura is in combination with systemic organ involvement, it is most likely to be Henoch-Schonlein purpura or microscopic polyarteritis. | * Palpable [[purpura]] - if patients have this in isolation, it is most likely due to cutaneous leukocytoclastic vasculitis. If the purpura is in combination with systemic organ involvement, it is most likely to be Henoch-Schonlein purpura or microscopic polyarteritis. | ||
(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA) | (Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA) | ||
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===Head=== | |||
* Tenderness on the sides of the head - [[Temporal arteritis]] | |||
* Tenderness on the head may be present in [[Takayasu arteritis]] | |||
===Heart=== | |||
====Auscultation==== | |||
* [[Bruit]] over one or both [[carotid arteries]] or abdominal aorta - [[Takayasu arteritis]] | |||
===Extremities=== | |||
==References== | ==References== | ||
Revision as of 15:32, 31 August 2012
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Vasculitis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: M.Umer Tariq [2]
Overview
Physical Examination
Vitals
Temperature
- Elevated body temperature may be present (fever)
Pulse
Rate
- Tachycardia may be present
Strength
- Decreased pulsation of one or both brachial arteries - Takayasu arteritis
- Decreased pulsations in the temporal artery - Temporal arteritis
Blood Pressure
- At least 10 mmHg systolic difference in both arms - in Takayasu arteritis
Skin
- Palpable purpura - if patients have this in isolation, it is most likely due to cutaneous leukocytoclastic vasculitis. If the purpura is in combination with systemic organ involvement, it is most likely to be Henoch-Schonlein purpura or microscopic polyarteritis.
(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)
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Head
- Tenderness on the sides of the head - Temporal arteritis
- Tenderness on the head may be present in Takayasu arteritis
Heart
Auscultation
- Bruit over one or both carotid arteries or abdominal aorta - Takayasu arteritis