Primary hyperaldosteronism physical examination: Difference between revisions
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* No chest tenderness on palpation | * No chest tenderness on palpation | ||
* PMI within 2 cm of the sternum | * PMI within 2 cm of the sternum | ||
* [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] | * [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]] | ||
* [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] | * [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]] | ||
Revision as of 20:48, 11 July 2017
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Physical Examination
Appearance of the patient
- Patient is usually well-appearing
Vital signs
- Normal body temperature
- Tachycardia with irregular pulse
- Normal respiratory rate
- High blood pressure may be the only presenting sign
Skin
- There are no abnormal skin findings associated with primary hyperaldosteronism
HEENT
- HEENT examination is normal in primary hyperaldosteronism.
Neck
- No lymphadenopathy
- No thyromegaly
- Elevated JVP
Lungs
- Symmetric chest expansion
- Normal breath sounds
- No rales, rhochi and wheeze
- Egophony absent
- Bronchophony absent
- Normal tactile fremitus
Heart
- No chest tenderness on palpation
- PMI within 2 cm of the sternum
- S1
- S2
- S4 may be heard due to left ventricular hypertrophy[1]
- No gallop rhythm
- Ventricular fibrillation may be a finding in primary hyperaldosteronism[2]
Abdomen
- Non-tender
- Non-distended
- No abnormal fluids or gas
- No palpable organomegaly
Back
- There are no abnormal findings on the back associated with primary hyperaldosteronism.
Genitourinary
- There are no abnormal genitourinary findings associated with primary hyperaldosteronism
Extremities
- Extremities are normal on examination in primary hyperaldosteronism
Neurologic
- Hyperaldosteronism induced hypertension may lead to stroke and paralysis[3]
References
- ↑ du Cailar G (2004). "[Cardiac consequences of primary hyperaldosteronism]". Ann Cardiol Angeiol (Paris) (in French). 53 (3): 147–9. PMID 15291171.
- ↑ Delgado Y, Quesada E, Pérez Arzola M, Bredy R (2006). "Ventricular fibrillation as the first manifestation of primary hyperaldosteronism". Bol Asoc Med P R. 98 (4): 258–62. PMID 19610566.
- ↑ Nishimura M, Uzu T, Fujii T, Kuroda S, Nakamura S, Inenaga T, Kimura G (1999). "Cardiovascular complications in patients with primary aldosteronism". Am. J. Kidney Dis. 33 (2): 261–6. PMID 10023636.