Rapidly progressive glomerulonephritis physical examination

Rapidly progressive glomerulonephritis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Physical examination

Vital signs

• The blood pressure usually is elevated in patients with rapidly progressive glomerulonephritis.

Skin

• Leukocytoclastic vasculitis
• Erythematous nodules due to necrotizing arteritis
• Granulomatous cutaneous nodules in patients present with granulomatosis with polyangitis

Abdomen

• Arteritis can result in ischemic ulceration in the GI tract, causing pain and bleeding, which is usually occult
• The most serious complications of GI ischemia are intussusception and pancreatitis
• GI involvement occurs in 50% of patients with ANCA