IgA nephropathy physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]

Overview

Patients with IgA nephropathy usually appear normal and usually have no significant clinical finding upon physical examination. However, some of the patients may present with low-grade fever, high blood pressure with normal pulse pressure, and pitting edema of the lower extremities in the late stage if the patient develops ESRD.

Physical Examination

  • Physical examination of patients with IgA nephropathy is usually normal.[1][2][3][4][5]

Appearance of the Patient

  • Patients with IgA nephropathy usually appear normal.

Vital Signs

Skin

  • Skin examination of patients with IgA nephropathy is usually normal.

HEENT

  • HEENT examination of patients with IgA nephropathy is usually normal.

Neck

  • Neck examination of patients with IgA nephropathy is usually normal.

Lungs

  • Pulmonary examination of patients with IgA nephropathy is usually normal.

Heart

  • Cardiovascular examination of patients with IgA nephropathy is usually normal.

Abdomen

  • Abdominal examination of patients with IgA nephropathy is usually normal.

Back

  • Back examination of patients with IgA nephropathy is usually normal.

Genitourinary

  • Genitourinary examination of patients with IgA nephropathy is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with IgA nephropathy is usually normal.

Extremities

  • Pitting edema of the lower extremities develops in late stage, if the patient develops ESRD

References

  1. Galla JH (February 1995). "IgA nephropathy". Kidney Int. 47 (2): 377–87. PMID 7723227.
  2. Donadio JV, Grande JP (September 2002). "IgA nephropathy". N. Engl. J. Med. 347 (10): 738–48. doi:10.1056/NEJMra020109. PMID 12213946.
  3. Hall CL, Bradley R, Kerr A, Attoti R, Peat D (October 2004). "Clinical value of renal biopsy in patients with asymptomatic microscopic hematuria with and without low-grade proteinuria". Clin. Nephrol. 62 (4): 267–72. PMID 15524056.
  4. Topham PS, Harper SJ, Furness PN, Harris KP, Walls J, Feehally J (June 1994). "Glomerular disease as a cause of isolated microscopic haematuria". Q. J. Med. 87 (6): 329–35. PMID 8041865.
  5. Gutierrez, E.; Gonzalez, E.; Hernandez, E.; Morales, E.; Martinez, M. A.; Usera, G.; Praga, M. (2006). "Factors That Determine an Incomplete Recovery of Renal Function in Macrohematuria-Induced Acute Renal Failure of IgA Nephropathy". Clinical Journal of the American Society of Nephrology. 2 (1): 51–57. doi:10.2215/CJN.02670706. ISSN 1555-9041.

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