Polycystic kidney disease physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
''Most physcial exam signs are non-specific in ADPKD. The most prominent findings at presentation include:''<ref name="pmid8321262">{{cite journal| author=Gabow PA| title=Autosomal dominant polycystic kidney disease. | journal=N Engl J Med | year= 1993 | volume= 329 | issue= 5 | pages= 332-42 | pmid=8321262 | doi=10.1056/NEJM199307293290508 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8321262 }} </ref> | ''Most physcial exam signs are non-specific in ADPKD. The most prominent findings at presentation include:''<ref name="pmid8321262">{{cite journal| author=Gabow PA| title=Autosomal dominant polycystic kidney disease. | journal=N Engl J Med | year= 1993 | volume= 329 | issue= 5 | pages= 332-42 | pmid=8321262 | doi=10.1056/NEJM199307293290508 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8321262 }} </ref> | ||
* ''' | * '''Hypertension''', often seen in more than half of ADPKD patients at presentation | ||
* '''Bilateral flank masses''', that can be palpated in most patients | * '''Bilateral flank masses''', that can be palpated in most patients | ||
* '''Nodular | * '''Nodular hepatomegaly''', usually absent in younger patients | ||
<br> | <br> | ||
To note, signs of renal failure are usually very uncommon at presentation, and are only encountered in patients in their fourth and fifth decades. | To note, signs of renal failure are usually very uncommon at presentation, and are only encountered in patients in their fourth and fifth decades. |
Revision as of 04:42, 17 November 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Serge Korjian,Yazan Daaboul
Overview
Physical exam signs of ADPKD include hypertension, bilateral flank masses, and nodular hepatomegaly.
Physical Examination
Most physcial exam signs are non-specific in ADPKD. The most prominent findings at presentation include:[1]
- Hypertension, often seen in more than half of ADPKD patients at presentation
- Bilateral flank masses, that can be palpated in most patients
- Nodular hepatomegaly, usually absent in younger patients
To note, signs of renal failure are usually very uncommon at presentation, and are only encountered in patients in their fourth and fifth decades.
References
- ↑ Gabow PA (1993). "Autosomal dominant polycystic kidney disease". N Engl J Med. 329 (5): 332–42. doi:10.1056/NEJM199307293290508. PMID 8321262.