Nephrotic syndrome physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
A full physical examination is always indicated in patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic rash in systemic lupus erythematosus (SLE), or peripheral neuropathy in diabetes mellitus. | |||
In primary nephrotic syndrome, the following findings are generally present. | |||
===Vital Signs=== | ===Vital Signs=== | ||
* High blood pressure, more common in adults | * High blood pressure, more common in adults | ||
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===Lungs=== | ===Lungs=== | ||
* | *Pulmonary fine crackles, suggestive of transudative pulmonary edema | ||
*Faint pulmonary auscultation, suggestive of pleural effusion | |||
*Decreased tactile fremitus | |||
*Dull percussion | |||
===Abdomen=== | ===Abdomen=== | ||
* | * Abdominal distension | ||
*Shifting dullness, suggestive of ascites | |||
*Dull percussion | |||
===Extremities=== | ===Extremities=== | ||
* | *Pitting edema in lower extremities bilaterally | ||
==References== | ==References== | ||
Revision as of 09:01, 17 November 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
A full physical examination is always indicated in patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic rash in systemic lupus erythematosus (SLE), or peripheral neuropathy in diabetes mellitus.
In primary nephrotic syndrome, the following findings are generally present.
Vital Signs
- High blood pressure, more common in adults
Skin
Eyes
- Periorbital edema
Lungs
- Pulmonary fine crackles, suggestive of transudative pulmonary edema
- Faint pulmonary auscultation, suggestive of pleural effusion
- Decreased tactile fremitus
- Dull percussion
Abdomen
- Abdominal distension
- Shifting dullness, suggestive of ascites
- Dull percussion
Extremities
- Pitting edema in lower extremities bilaterally