Membranoproliferative glomerulonephritis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients with MPGN usually appear normal but may develop signs and symptoms of end stage renal disease. Signs of volume overload maybe present.
Physical Examination
Physical examination of patients with membranoproliferative glomerulonephritis is usually normal except there are signs of fluid overload if the disease progress to end-stage renal failure.[1]
Appearance of the Patient
- Patients with membranoproliferative glomerulonephritis usually appear lethargic
Vital Signs
- Afebrile
- High blood pressure with normal pulse pressure
Skin
- Skin examination of patients with membranoproliferative glomerulonephritis is usually normal
HEENT
- HEENT examination of patients with membranoproliferative glomerulonephritis is usually normal
- Swelling of periorbital sometimes resulting in swollen-shut eyelids
Neck
- Neck examination of patients with membranoproliferative glomerulonephritis is usually normal
- Jugular venous distension is seen in fluid overload
Lungs
- Pulmonary examination of patients with membranoproliferative glomerulonephritis is usually normal, however, if there is fluid overload, following signs are seen:
- Lungs are hyporesonant
- Fine/coarse crackles upon auscultation of the lung bases bilaterally
Heart
- Cardiovascular examination of patients with membranoproliferative glomerulonephritis is usually normal
Abdomen
Back
- Back examination of patients with membranoproliferative glomerulonephritis is usually normal
Genitourinary
- Signs of fluid overload can be seen which includes:
- Scrotal edema
- Vulvar edema
Neuromuscular
- Neuromuscular examination of patients with membranoproliferative glomerulonephritis is usually normal
Extremities
- Pitting/non-pitting edema of the upper and lower extremitiesdue to fluid overload
References
- ↑ D'Agati VD, Kaskel FJ, Falk RJ (December 2011). "Focal segmental glomerulosclerosis". N. Engl. J. Med. 365 (25): 2398–411. doi:10.1056/NEJMra1106556. PMID 22187987.