Undifferentiated connective tissue disease physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with UCTD usually appear well but can present with low-grade [[fever]], [[Raynaud's phenomenon]], [[Rash|rash and]] [[Erythema nodosum]] in the skin examination. On examining HEENT,[[Conjunctivitis]], [[Uveitis]], [[Keratoconjunctivitis sicca]][[Dry-mouth|, dry-mouth]] can be seen. In the neck, [[lymphadenopathy]] can be seen. Rhonchi, [[Wheezing]][[Pleural friction rub|, pleural friction rub]] and [[Pericardial friction rub]] can be heard on auscultation. | |||
===Abdomen=== | |||
*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant | |||
*[[Rebound tenderness]] | |||
*[[Hepatomegaly]] | |||
===Back=== | |||
*Tenderness over lumbar vertebrae can occur | |||
*Sacral [[edema]] may be seen | |||
===Genitourinary=== | |||
*[[Rashes]] can be seen | |||
===Neuromuscular=== | |||
* Altered mental status with psychosis | |||
* [[Peripheral neuropathy]] | |||
===Extremities=== | |||
*Pitting/non-pitting [[edema]] of the lower extremities. | |||
==Physical Examination== | ==Physical Examination== | ||
*The presence of following findings on physical examination is highly suggestive of undifferentiated connective tissue disease(UCTD):<ref name="pmid12846049">{{cite journal |vauthors=Bodolay E, Csiki Z, Szekanecz Z, Ben T, Kiss E, Zeher M, Szücs G, Dankó K, Szegedi G |title=Five-year follow-up of 665 Hungarian patients with undifferentiated connective tissue disease (UCTD) |journal=Clin. Exp. Rheumatol. |volume=21 |issue=3 |pages=313–20 |date=2003 |pmid=12846049 |doi= |url=}}</ref><ref name="pmid17110308">{{cite journal |vauthors=Mosca M, Tani C, Neri C, Baldini C, Bombardieri S |title=Undifferentiated connective tissue diseases (UCTD) |journal=Autoimmun Rev |volume=6 |issue=1 |pages=1–4 |date=November 2006 |pmid=17110308 |doi=10.1016/j.autrev.2006.03.004 |url=}}</ref><ref name="pmid10544849">{{cite journal |vauthors=Mosca M, Neri R, Bombardieri S |title=Undifferentiated connective tissue diseases (UCTD): a review of the literature and a proposal for preliminary classification criteria |journal=Clin. Exp. Rheumatol. |volume=17 |issue=5 |pages=615–20 |date=1999 |pmid=10544849 |doi= |url=}}</ref> | *The presence of following findings on physical examination is highly suggestive of undifferentiated connective tissue disease(UCTD):<ref name="pmid12846049">{{cite journal |vauthors=Bodolay E, Csiki Z, Szekanecz Z, Ben T, Kiss E, Zeher M, Szücs G, Dankó K, Szegedi G |title=Five-year follow-up of 665 Hungarian patients with undifferentiated connective tissue disease (UCTD) |journal=Clin. Exp. Rheumatol. |volume=21 |issue=3 |pages=313–20 |date=2003 |pmid=12846049 |doi= |url=}}</ref><ref name="pmid17110308">{{cite journal |vauthors=Mosca M, Tani C, Neri C, Baldini C, Bombardieri S |title=Undifferentiated connective tissue diseases (UCTD) |journal=Autoimmun Rev |volume=6 |issue=1 |pages=1–4 |date=November 2006 |pmid=17110308 |doi=10.1016/j.autrev.2006.03.004 |url=}}</ref><ref name="pmid10544849">{{cite journal |vauthors=Mosca M, Neri R, Bombardieri S |title=Undifferentiated connective tissue diseases (UCTD): a review of the literature and a proposal for preliminary classification criteria |journal=Clin. Exp. Rheumatol. |volume=17 |issue=5 |pages=615–20 |date=1999 |pmid=10544849 |doi= |url=}}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with UCTD usually appear | *Patients with UCTD usually appear well.. | ||
===Vital Signs=== | ===Vital Signs=== | ||
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===Extremities=== | ===Extremities=== | ||
*Pitting/non-pitting [[edema]] of the lower extremities | *Pitting/non-pitting [[edema]] of the lower extremities. | ||
==References== | ==References== | ||
Revision as of 22:22, 30 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Patients with UCTD usually appear well but can present with low-grade fever, Raynaud's phenomenon, rash and Erythema nodosum in the skin examination. On examining HEENT,Conjunctivitis, Uveitis, Keratoconjunctivitis sicca, dry-mouth can be seen. In the neck, lymphadenopathy can be seen. Rhonchi, Wheezing, pleural friction rub and Pericardial friction rub can be heard on auscultation.
Abdomen
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness
- Hepatomegaly
Back
- Tenderness over lumbar vertebrae can occur
- Sacral edema may be seen
Genitourinary
- Rashes can be seen
Neuromuscular
- Altered mental status with psychosis
- Peripheral neuropathy
Extremities
- Pitting/non-pitting edema of the lower extremities.
Physical Examination
- The presence of following findings on physical examination is highly suggestive of undifferentiated connective tissue disease(UCTD):[1][2][3]
Appearance of the Patient
- Patients with UCTD usually appear well..
Vital Signs
- Low-grade fever
Skin
HEENT
Neck
- Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
Lungs
- Rhonchi
- Wheezing may be present
- Pleural friction rub
Heart
Abdomen
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness
- Hepatomegaly
Back
- Tenderness over lumbar vertebrae can occur
- Sacral edema may be seen
Genitourinary
- Rashes can be seen
Neuromuscular
- Altered mental status with psychosis
- Peripheral neuropathy
Extremities
- Pitting/non-pitting edema of the lower extremities.
References
- ↑ Bodolay E, Csiki Z, Szekanecz Z, Ben T, Kiss E, Zeher M, Szücs G, Dankó K, Szegedi G (2003). "Five-year follow-up of 665 Hungarian patients with undifferentiated connective tissue disease (UCTD)". Clin. Exp. Rheumatol. 21 (3): 313–20. PMID 12846049.
- ↑ Mosca M, Tani C, Neri C, Baldini C, Bombardieri S (November 2006). "Undifferentiated connective tissue diseases (UCTD)". Autoimmun Rev. 6 (1): 1–4. doi:10.1016/j.autrev.2006.03.004. PMID 17110308.
- ↑ Mosca M, Neri R, Bombardieri S (1999). "Undifferentiated connective tissue diseases (UCTD): a review of the literature and a proposal for preliminary classification criteria". Clin. Exp. Rheumatol. 17 (5): 615–20. PMID 10544849.