Nephrotic syndrome physical examination

Nephrotic Syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Nephrotic syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X-Ray
Echocardiography or Ultrasound
CT Scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Nephrotic syndrome physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Nephrotic syndrome physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Nephrotic syndrome physical examination
CDC on Nephrotic syndrome physical examination
Nephrotic syndrome physical examination in the news
Blogs on Nephrotic syndrome physical examination
Directions to Hospitals Treating Nephrotic syndrome
Risk calculators and risk factors for Nephrotic syndrome physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian

Overview

A full physical examination should be performed among patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic rash in systemic lupus erythematosus (SLE), or peripheral neuropathy in diabetes mellitus.

Physical Examination

Vital Signs

• High blood pressure, more common in adults

Skin

• May have features of underlying cause, such as rash associated with SLE

Eyes

• Periorbital edema

Lungs

• Pulmonary fine crackles
• Faint pulmonary auscultation, suggestive of pleural effusion
• Decreased tactile fremitus
• Dull percussion

Abdomen

• Abdominal distension
• Shifting dullness, suggestive of ascites
• Dull percussion

Extremities

• Pitting edema in lower extremities bilaterally