Chronic renal failure physical examination: Difference between revisions
No edit summary |
|||
| Line 25: | Line 25: | ||
===Auscultation=== | ===Auscultation=== | ||
*[[Heart sounds#Fourth heart sound S4|S4]] may be heard. | *[[Heart sounds#Fourth heart sound S4|S4]] may be heard. | ||
*Pericardial [[friction rub]] from [[pericarditis]]. | |||
==Lungs== | ==Lungs== | ||
===Auscultation=== | ===Auscultation=== | ||
*[[Rales/Crackles]] from [[pulmonary edema]] | *[[Rales/Crackles]] from [[pulmonary edema]] | ||
Revision as of 15:40, 30 July 2012
|
Chronic renal failure Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Chronic renal failure physical examination On the Web |
|
American Roentgen Ray Society Images of Chronic renal failure physical examination |
|
Risk calculators and risk factors for Chronic renal failure physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]
Overview
Chronic renal failure causes disturbances in not only the filtration function of the kidney, but also in the normal functioning of virtually every organ in the body. Symptoms and overt signs of kidney disease are often subtle or absent until renal failure ensues. Thus, the diagnosis of chronic renal failure often take the patient by surprise.
Appearance of the Patient
The patient may have difficulty breathing from complications of chronic renal failure such as pulmonary edema and pericarditis. Peripheral edema is most often present.
Vitals
Blood Pressure
- Hypertension may be present and is a potential cause for renal damage.
Respiratory Rate
- Tachypnea may be present.
HEENT
Fundoscopy
- Fundoscopy is important in evaluating diabetic and hypertensive patients to look for retinal damage as evidence of diabetic retinopathy or hypertensive retinopathy.
Heart
Pre-cordial examination
- Left ventricular heave
Auscultation
- S4 may be heard.
- Pericardial friction rub from pericarditis.
Lungs
Auscultation
Extremities
- Peripheral edema may be present.