Familial mediterranean fever physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Common physical examination findings of familial Mediterranean fever include fever, arthritis, and skin rash.

Physical examination of patients with familial Mediterranean fever in periods between attacks is usually normal.
During attacks, common physical examination findings include fever, arthritis, and skin rash.
Tachypnea and tachycardia may be present due to the effect of fever.

Skin examination of patients with familial Mediterranean fever is usually normal. However, non-specific skin lesions may also be present.
Potential skin lesions include:

HEENT examination of patients with familial Mediterranean fever is usually normal. However, it may also be positive for findings such as:
Ophthalmoscopic exam may be abnormal with findings of erythematous conjunctivae
Hearing acuity may be reduced
Weber test may be abnormal
Rinne test may be positive
Exudate from the ear canal
Erythematous throat with/without tonsillar swelling, and exudates

Neck examination of patients with familial Mediterranean fever is usually normal. However, it may also indicate findings such as:
Lymphadenopathy which may be with/without pain

Pulmonary examination of patients with familial Mediterranean fever may be positive for:
Asymmetric chest expansion OR decreased chest expansion
Lungs are hyporesonant due to associated pleural effusion
Normal/reduced tactile fremitus

Cardiovascular examination of patients with familial Mediterranean fever may be associated with the following findings:
Chest tenderness upon palpation due to pericarditis
Friction rub

Abdominal examination of patients with familial Mediterranean fever is usually normal.
Hepatomegaly / splenomegaly / hepatosplenomegaly may be present.

Back examination of patients with familial Mediterranean fever is usually normal.

Genitourinary examination of patients with familial Mediterranean fever is usually normal.

Neuromuscular examination of patients with familial Mediterranean fever is usually normal.
Patient is usually oriented to persons, place, and time.
Neuropathy may also be present.

Extremities examination of patients with familial Mediterranean fever is usually normal.