Membranoproliferative glomerulonephritis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with membranoproliferative glomerulonephritis is usually normal except there are signs of fluid overload if the disease progress to end-stage renal failure.<ref name="pmid22187987">{{cite journal |vauthors=D'Agati VD, Kaskel FJ, Falk RJ |title=Focal segmental glomerulosclerosis |journal=N. Engl. J. Med. |volume=365 |issue=25 |pages=2398–411 |date=December 2011 |pmid=22187987 |doi=10.1056/NEJMra1106556 |url=}}</ref> | |||
===Appearance of the Patient=== | |||
*Patients with membranoproliferative glomerulonephritis usually appear lethargic | |||
===Vital Signs=== | |||
*Afebrile | |||
*High blood pressure with normal pulse pressure | |||
===Skin=== | |||
*Skin examination of patients with membranoproliferative glomerulonephritis is usually normal | |||
===HEENT=== | |||
*HEENT examination of patients with membranoproliferative glomerulonephritis is usually normal | |||
*Swelling of periorbital sometimes resulting in swollen-shut eyelids | |||
===Neck=== | |||
*Neck examination of patients with membranoproliferative glomerulonephritis is usually normal | |||
*[[Jugular venous distension]] is seen in fluid overload | |||
===Lungs=== | |||
* Pulmonary examination of patients with membranoproliferative glomerulonephritis is usually normal, however, if there is fluid overload, following signs are seen: | |||
*Lungs are hyporesonant | |||
*Fine/coarse [[crackles]] upon auscultation of the lung bases bilaterally | |||
===Heart=== | |||
*Cardiovascular examination of patients with membranoproliferative glomerulonephritis is usually normal | |||
===Abdomen=== | |||
*[[Abdominal distention]] | |||
===Back=== | |||
*Back examination of patients with membranoproliferative glomerulonephritis is usually normal | |||
===Genitourinary=== | |||
*Signs of fluid overload can be seen which includes: | |||
**Scrotal edema | |||
**Vulvar edema | |||
===Neuromuscular=== | |||
*Neuromuscular examination of patients with membranoproliferative glomerulonephritis is usually normal | |||
===Extremities=== | |||
*Pitting/non-pitting [[edema]] of the upper and lower extremitiesdue to fluid overload | |||
==References== | ==References== | ||
Revision as of 16:29, 27 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Physical examination of patients with membranoproliferative glomerulonephritis is usually normal except there are signs of fluid overload if the disease progress to end-stage renal failure.[1]
Appearance of the Patient
- Patients with membranoproliferative glomerulonephritis usually appear lethargic
Vital Signs
- Afebrile
- High blood pressure with normal pulse pressure
Skin
- Skin examination of patients with membranoproliferative glomerulonephritis is usually normal
HEENT
- HEENT examination of patients with membranoproliferative glomerulonephritis is usually normal
- Swelling of periorbital sometimes resulting in swollen-shut eyelids
Neck
- Neck examination of patients with membranoproliferative glomerulonephritis is usually normal
- Jugular venous distension is seen in fluid overload
Lungs
- Pulmonary examination of patients with membranoproliferative glomerulonephritis is usually normal, however, if there is fluid overload, following signs are seen:
- Lungs are hyporesonant
- Fine/coarse crackles upon auscultation of the lung bases bilaterally
Heart
- Cardiovascular examination of patients with membranoproliferative glomerulonephritis is usually normal
Abdomen
Back
- Back examination of patients with membranoproliferative glomerulonephritis is usually normal
Genitourinary
- Signs of fluid overload can be seen which includes:
- Scrotal edema
- Vulvar edema
Neuromuscular
- Neuromuscular examination of patients with membranoproliferative glomerulonephritis is usually normal
Extremities
- Pitting/non-pitting edema of the upper and lower extremitiesdue to fluid overload
References
- ↑ D'Agati VD, Kaskel FJ, Falk RJ (December 2011). "Focal segmental glomerulosclerosis". N. Engl. J. Med. 365 (25): 2398–411. doi:10.1056/NEJMra1106556. PMID 22187987.