Takayasu's arteritis physical examination: Difference between revisions
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| Line 17: | Line 17: | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
===Vital Signs=== | ===Vital Signs=== | ||
* Vital signs are with in normal limits. | |||
===Skin=== | ===Skin=== | ||
* [[Erythema nodosum]] | * [[Erythema nodosum]] | ||
| Line 37: | Line 39: | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with temporal arteritis is usually normal. | |||
===Heart=== | ===Heart=== | ||
* Heart murmurs | |||
** Aortic regurgitation may result from aortic root dilation | |||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal examination of patients with Takayasu's arteritis is usually normal. | |||
===Back=== | ===Back=== | ||
* Back examination of patients with Takayasu's arteritis is usually normal. | * Back examination of patients with Takayasu's arteritis is usually normal. | ||
Revision as of 19:09, 9 April 2018
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Takayasu's arteritis Microchapters |
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Takayasu's arteritis physical examination On the Web |
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Risk calculators and risk factors for Takayasu's arteritis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
Overview
Physical Examination
A thorough physical examination is essential, with particular attention to:
- Peripheral pulses
- Blood pressure in all 4 extremities
- Ophthalmologic examination
Appearance of the Patient
Vital Signs
- Vital signs are with in normal limits.
Skin
- Ulcerating nodular lesions
HEENT
Ophthalmologic examination may show:[1]
- Retinal ischemia
- Retinal hemorrhages
- Cotton-wool exudates
- Venous dilatation and beading
- Microaneurysms of peripheral retina
- Optic atrophy
- Vitreous hemorrhage
- Wreathlike peripapillary arteriovenous anastomoses (extremely rare)
Neck
- Neck examination of patients with Takayasu's arteritis is usually normal.
Lungs
- Pulmonary examination of patients with temporal arteritis is usually normal.
Heart
- Heart murmurs
- Aortic regurgitation may result from aortic root dilation
Abdomen
- Abdominal examination of patients with Takayasu's arteritis is usually normal.
Back
- Back examination of patients with Takayasu's arteritis is usually normal.
Genitourinary
- Genitourinary examination of patients with Takayasu's arteritis is usually normal.
Neuromuscular
Involvement of the carotid and vertebral arteries causes decreased cerebral blood flow, leading to:
- Lightheadedness
- Vertigo
- Syncope
- Orthostasis
- Headaches
- Convulsions
- Strokes