Rapidly progressive glomerulonephritis physical examination: Difference between revisions
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===Skin=== | ===Skin=== | ||
* Leukocytoclastic vasculitis | * Leukocytoclastic vasculitis<ref name="pmid8089286">{{cite journal |vauthors=Daoud MS, Gibson LE, DeRemee RA, Specks U, el-Azhary RA, Su WP |title=Cutaneous Wegener's granulomatosis: clinical, histopathologic, and immunopathologic features of thirty patients |journal=J. Am. Acad. Dermatol. |volume=31 |issue=4 |pages=605–12 |date=October 1994 |pmid=8089286 |doi= |url=}}</ref> | ||
* Erythematous nodules due to necrotizing arteritis | * Erythematous nodules due to necrotizing arteritis | ||
* Granulomatous cutaneous nodules in patients present with granulomatosis with polyangitis | * Granulomatous cutaneous nodules in patients present with granulomatosis with polyangitis | ||
===Abdomen=== | ===Abdomen=== | ||
* Most of patients with ANCA +ve shows gastrointestinal involvement | * Most of patients with ANCA +ve shows gastrointestinal involvement<ref name="pmid15758841">{{cite journal |vauthors=Pagnoux C, Mahr A, Cohen P, Guillevin L |title=Presentation and outcome of gastrointestinal involvement in systemic necrotizing vasculitides: analysis of 62 patients with polyarteritis nodosa, microscopic polyangiitis, Wegener granulomatosis, Churg-Strauss syndrome, or rheumatoid arthritis-associated vasculitis |journal=Medicine (Baltimore) |volume=84 |issue=2 |pages=115–28 |date=March 2005 |pmid=15758841 |doi= |url=}}</ref> | ||
* Occult GI bleeding as a result of ulceration due to arteritis | * Occult GI bleeding as a result of ulceration due to arteritis | ||
* Pancreatitis may be present | * Pancreatitis may be present | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Mononeuritis multiplex in ANCA +ve patients | * Mononeuritis multiplex in ANCA +ve patients<ref name="pmid28273992">{{cite journal |vauthors=Anadure R, Narayanan C, Varadraj G, Nandeesh B |title=ANCA Associated Mononeuritis Multiplex with Overlap in Vasculitic Syndromes |journal=J Clin Diagn Res |volume=11 |issue=1 |pages=OD01–OD03 |date=January 2017 |pmid=28273992 |pmc=5324437 |doi=10.7860/JCDR/2017/22252.9149 |url=}}</ref> | ||
* Arthritis | * Arthritis | ||
* Arthralgia | * Arthralgia | ||
Revision as of 21:33, 4 June 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Physical examination
Appearance of the patient
- Patients with rapidly progressive glomerulonephritis usually appear ill.
Vital signs
- The blood pressure usually is elevated in patients with rapidly progressive glomerulonephritis.
Skin
- Leukocytoclastic vasculitis[1]
- Erythematous nodules due to necrotizing arteritis
- Granulomatous cutaneous nodules in patients present with granulomatosis with polyangitis
Abdomen
- Most of patients with ANCA +ve shows gastrointestinal involvement[2]
- Occult GI bleeding as a result of ulceration due to arteritis
- Pancreatitis may be present
Neuromuscular
- Mononeuritis multiplex in ANCA +ve patients[3]
- Arthritis
- Arthralgia
Genitourinary
- Hematuria
References
- ↑ Daoud MS, Gibson LE, DeRemee RA, Specks U, el-Azhary RA, Su WP (October 1994). "Cutaneous Wegener's granulomatosis: clinical, histopathologic, and immunopathologic features of thirty patients". J. Am. Acad. Dermatol. 31 (4): 605–12. PMID 8089286.
- ↑ Pagnoux C, Mahr A, Cohen P, Guillevin L (March 2005). "Presentation and outcome of gastrointestinal involvement in systemic necrotizing vasculitides: analysis of 62 patients with polyarteritis nodosa, microscopic polyangiitis, Wegener granulomatosis, Churg-Strauss syndrome, or rheumatoid arthritis-associated vasculitis". Medicine (Baltimore). 84 (2): 115–28. PMID 15758841.
- ↑ Anadure R, Narayanan C, Varadraj G, Nandeesh B (January 2017). "ANCA Associated Mononeuritis Multiplex with Overlap in Vasculitic Syndromes". J Clin Diagn Res. 11 (1): OD01–OD03. doi:10.7860/JCDR/2017/22252.9149. PMC 5324437. PMID 28273992.