Temporal arteritis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
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].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- The presence of temporal tenderness on physical examination is highly suggestive of temporal arteritis.
Appearance of the Patient
- Patients with temporal arteritis usually appear in pain.
Vital Signs
- Vital signs are with in normal limits.
Skin
- Skin examination of patients with temporal is usually normal.
HEENT
- HEENT examination of patients with [disease name] is usually normal.
OR
- Abnormalities of the head/hair may include ___
- Evidence of trauma
- Icteric sclera
- Nystagmus
- Extra-ocular movements may be abnormal
- Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
- Ophthalmoscopic exam may be abnormal with findings of ___
- Hearing acuity may be reduced
- Weber test may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
- Rinne test may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
- Exudate from the ear canal
- Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
- Inflamed nares / congested nares
- Purulent exudate from the nares
- Facial tenderness
- Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
Neck
- Neck examination of patients with temporal arteritis is usually normal.
Lungs
- Pulmonary examination of patients with temporal arteritis is usually normal.
Heart
- Cardiovascular examination of patients with temporal arteritis is usually normal.
Abdomen
Abdominal examination of patients with temporal arteritis is usually normal.
Back
- Back examination of patients with temporal arteritis is usually normal.
Genitourinary
- Genitourinary examination of patients with temporal arteritis is usually normal.
Neuromuscular
- Neuromuscular examination of patients with temporal arteritis is usually normal.
Extremities
- Extremities examination of patients with temporal arteritis is usually normal.