Mixed connective tissue disease physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with | *Physical examination of patients with MCTD is usually remarkable by clinical features seen in [[Systemic lupus erythematosus|systemic lupus erythematosus (SLE)]], [[Rheumatoid arthritis|rheumatoid arthritis (RA)]], [[Dermatomyositis|dermatomyositis (DM)]], [[polymyositis]], and [[scleroderma]]. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
* | * Patient appears well in the earlier stages of the disease | ||
* Patient appears ill in the late stages of the disease due to multi-organ involvement | |||
===Vital Signs=== | ===Vital Signs=== | ||
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* Skin may be [[Pallor]] | * Skin may be [[Pallor]] | ||
** Secondary to [[anemia]] | ** Secondary to [[anemia]] | ||
* [[Sclerodactyly]] | |||
* Skin [[Ulcerations|ulceration]] | |||
===HEENT=== | ===HEENT=== | ||
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* Cardiovascular examination of patients with mixed connective tissue disease is usually normal. | * Cardiovascular examination of patients with mixed connective tissue disease is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
Abdominal examination of patients with mixed connective tissue disease is usually normal. | * Abdominal examination of patients with mixed connective tissue disease is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
Revision as of 17:16, 17 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
Physical Examination
- Physical examination of patients with MCTD is usually remarkable by clinical features seen in systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), dermatomyositis (DM), polymyositis, and scleroderma.
Appearance of the Patient
- Patient appears well in the earlier stages of the disease
- Patient appears ill in the late stages of the disease due to multi-organ involvement
Vital Signs
Skin
- Skin may be Pallor
- Secondary to anemia
- Sclerodactyly
- Skin ulceration
HEENT
- HEENT examination of patients with mixed connective tissue disease is usually normal.
Neck
Lungs
Heart
- Cardiovascular examination of patients with mixed connective tissue disease is usually normal.
Abdomen
- Abdominal examination of patients with mixed connective tissue disease is usually normal.
Genitourinary
- Genitourinary examination of patients with mixed connective tissue disease is usually normal.
Neuromuscular
Extremities
- Joint swelling and tenderness
- Features of rheumatologic disease
References
- ↑ Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G (May 2005). "Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD)". Rheumatology (Oxford). 44 (5): 656–61. doi:10.1093/rheumatology/keh575. PMID 15716315.
- ↑ Latuśkiewicz-Potemska J, Zygmunt A, Biernacka-Zielińska M, Stańczyk J, Smolewska E (October 2013). "Mixed connective tissue disease presenting with progressive scleroderma symptoms in a 10-year-old girl". Postepy Dermatol Alergol. 30 (5): 329–36. doi:10.5114/pdia.2013.38365. PMC 3858664. PMID 24353496.
- ↑ Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G (May 2005). "Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD)". Rheumatology (Oxford). 44 (5): 656–61. doi:10.1093/rheumatology/keh575. PMID 15716315.