Fibromuscular dysplasia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
Physical Examination
- Physical examination of patients with fibromuscular dysplasia without clinical suspicion is usually normal. However the most common presentation of renal artery FMD is renovascular hypertension, but in the physical examination of patients enrolled in the US registry for fibromuscular dysplasia mean blood pressure was 130/75 mm Hg.[1]
- The presence of carotid bruits on physical examination has low sensitivity however its specificity for identifying extracranial FMD is highly suggestive.
- The presence of an epigastric or flank bruit on physical examination, such as carotid bruits is low, however, its presence strongly suggestive of renal or mesenteric FMD.
- Focal neurological deficits,cranial nerve involvement, pupil abnormality or ptosis (findings consistent with Horner syndrome) may be detected in FMD.
References
- ↑ Jeffrey W. Olin, James Froehlich, Xiaokui Gu, J. Michael Bacharach, Kim Eagle, Bruce H. Gray, Michael R. Jaff, Esther S. H. Kim, Pam Mace, Alan H. Matsumoto, Robert D. McBane, Eva Kline-Rogers, Christopher J. White & Heather L. Gornik (2012). "The United States Registry for Fibromuscular Dysplasia: results in the first 447 patients". Circulation. 125 (25): 3182–3190. doi:10.1161/CIRCULATIONAHA.112.091223. PMID 22615343. Unknown parameter
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