Capillary leak syndrome physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with capillary leak syndrome present with generalized edema, weight gain, fatigue, and body aches. Physical examination is remarkable from hypotension, rash, pruritus, flushing, jaw claudication. Lung examination may reveal wheezing and prolonged expiratory phase. Cardiac examination may reveal tachycardia, weak peripheral pulses, muffled heart sounds on auscultation due to underlying pericardial effusion, pulsus paradoxus, and pericardial friction rub. The patient may also present with abdominal distention, tenderness, and fluid thrill. | |||
==Physical Examination== | ==Physical Examination== | ||
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===Heart=== | ===Heart=== | ||
* Tachycardia | |||
* Weak peripheral pulses | *Tachycardia | ||
* Muffled heart sounds on auscultation due to underlying pericardial effusion | *Weak peripheral pulses | ||
* Pulsus Paradoxus | *Muffled heart sounds on auscultation due to underlying pericardial effusion | ||
* Pericardial friction rub | *Pulsus Paradoxus | ||
*Pericardial friction rub | |||
===Abdomen=== | ===Abdomen=== | ||
*Abdominal tenderness | *Abdominal tenderness | ||
*Abdominal distention | *Abdominal distention | ||
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===Extremities=== | ===Extremities=== | ||
* Generalized edema | *Generalized edema | ||
==References== | ==References== | ||
Revision as of 19:50, 11 August 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: M. Hassan, M.B.B.S
Overview
Patients with capillary leak syndrome present with generalized edema, weight gain, fatigue, and body aches. Physical examination is remarkable from hypotension, rash, pruritus, flushing, jaw claudication. Lung examination may reveal wheezing and prolonged expiratory phase. Cardiac examination may reveal tachycardia, weak peripheral pulses, muffled heart sounds on auscultation due to underlying pericardial effusion, pulsus paradoxus, and pericardial friction rub. The patient may also present with abdominal distention, tenderness, and fluid thrill.
Physical Examination
Patient with capillary leak syndrome usually presents with generalized edema fatigued, and body aches[1]. Physical examination is usually remarkable for hypotension, pleural and pericardial effusion.[1]
Appearence of the Patient
- Partial or generalized edema may be seen.
- Weight gain
Vitals
Skin
HEENT
- Jaw claudication
Neck
- Unremarkable
Lungs
- Wheezing may be present
- Prolonged expiratory phase
Heart
- Tachycardia
- Weak peripheral pulses
- Muffled heart sounds on auscultation due to underlying pericardial effusion
- Pulsus Paradoxus
- Pericardial friction rub
Abdomen
- Abdominal tenderness
- Abdominal distention
- Fluid thrill
Extremities
- Generalized edema
References
- ↑ 1.0 1.1 Kapoor P, Greipp PT, Schaefer EW, Mandrekar SJ, Kamal AH, Gonzalez-Paz NC; et al. (2010). "Idiopathic systemic capillary leak syndrome (Clarkson's disease): the Mayo clinic experience". Mayo Clin Proc. 85 (10): 905–12. doi:10.4065/mcp.2010.0159. PMC 2947962. PMID 20634497.