Malignant hypertension physical examination: Difference between revisions
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{{Malignant hypertension}} | {{Malignant hypertension}} | ||
{{CMG}} | |||
== Physical examination == | |||
=== Vital Signs === | |||
* Blood pressure must be checked in both arms to screen for [[aortic dissection]] or [[coarctation]]. | |||
* Orthostatic vital signs | |||
=== Eyes === | |||
* A funduscopic examination may reveal silver wiring (Grade I [[retinopathy]]), AV nipping (Grade II) flame-shaped retinal hemorrhages, soft exudates (Grade III), or papilledema (Grade IV) | |||
=== Head and Neck === | |||
* Examination of jugular veins | |||
* Carotid bruits | |||
=== Heart === | |||
* Third or fourth heart sound or murmurs. | |||
=== Lungs === | |||
* [[Pulmonary rales]] | |||
=== Abdomen === | |||
* Renal bruits | |||
* Assessment of liver size | |||
=== Extremities === | |||
* [[Pedal edema]] | |||
=== Neurologic === | |||
* Focal neurologic signs | |||
* Focal signs of [[subarachnoid hemorrhage]], [[infarct]], or the presence of a mass. | |||
==References== | ==References== |
Revision as of 19:53, 22 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical examination
Vital Signs
- Blood pressure must be checked in both arms to screen for aortic dissection or coarctation.
- Orthostatic vital signs
Eyes
- A funduscopic examination may reveal silver wiring (Grade I retinopathy), AV nipping (Grade II) flame-shaped retinal hemorrhages, soft exudates (Grade III), or papilledema (Grade IV)
Head and Neck
- Examination of jugular veins
- Carotid bruits
Heart
- Third or fourth heart sound or murmurs.
Lungs
Abdomen
- Renal bruits
- Assessment of liver size
Extremities
Neurologic
- Focal neurologic signs
- Focal signs of subarachnoid hemorrhage, infarct, or the presence of a mass.