Hemolytic-uremic syndrome physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sogand Goudarzi, MD [2], Anila Hussain, MD [3]

Overview

Common physical examination findings of hemolytic uremic syndrome (HUS) include edema and fluid overload, high blood pressure and often sever pallor. Gastrointestinal findings may include abdominal tenderness, distension and guarding. bruising, purpura, petechiae or oozing from the site of venipuncture may be seen sometimes.

Physical Examination

Physical examination of patients with HUS is usually :

• Edema

• Hypertension

• Fluid overload

• Pallor (often severe)

Appearance of the Patient

• Patients with HUS usually appear pale

Vital Signs

• Fever (in some cases)
• Weak pulse
• High blood pressure (with normal pulse pressure)

Skin

• Skin examination of patients with HUS is usually pale. Bruising, petechiae, purpura or oozing from site of venipuncture seen sometimes.

HEENT

• HEENT examination of patients with HUS is usually normal.

Neck

• Neck examination of patients with HUS is usually normal.

Lungs

• Pulmonary examination of patients with HUS is usually normal.

Heart

• Cardiovascular examination of patients with HUS is usually normal.

Abdomen

• Abdominal distention
• Abdominal tenderness
• Guarding may be present

Back

• Back examination of patients with HUS is usually normal.

Genitourinary

• Genitourinary examination of patients with is usually normal
• Hematuria may be present

Neuromuscular

• Neuromuscular examination of patients with HUS is usually normal.

• Patient is usually oriented to persons, place, and time
• Altered mental status, some patients are in the coma

Extremities

• Extremities examination of patients with HUS is usually normal
• Pitting edema lower extremities