Churg-Strauss syndrome physical examination: Difference between revisions
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===Neck=== | ===Neck=== | ||
* Neck examination of patients with [ | * Neck examination of patients with [[eosinophilic granulomatosis with polyangiitis]] is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
* | * [[Wheeze|Wheezing]] | ||
* Expiratory ronchi | |||
OR | OR | ||
* Asymmetric chest expansion / Decreased chest expansion | * Asymmetric chest expansion / Decreased chest expansion | ||
*Lungs are hypo/hyperresonant | *Lungs are hypo/hyperresonant | ||
*Expiratory/inspiratory wheezing with normal / delayed expiratory phase | *Expiratory/inspiratory wheezing with normal / delayed expiratory phase | ||
*[[Wheezing]] may be present | *[[Wheezing]] may be present | ||
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===Abdomen=== | ===Abdomen=== | ||
Abdominal examination of patients with | Abdominal examination of patients with eosinophilic granulomatosis with polyangiitis may show : | ||
* [[Tenderness (medicine)|Abdominal tenderness]] | |||
* Gaurding | |||
*[[Abdominal | |||
* | |||
===Back=== | ===Back=== | ||
* Back examination of patients with [ | * Back examination of patients with [[eosinophilic granulomatosis with polyangiitis]] is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with [ | * Genitourinary examination of patients with [[eosinophilic granulomatosis with polyangiitis]] is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Patient is usually oriented to persons, place, and time. | |||
* [[Peripheral neuropathy]] | |||
*Patient is usually oriented to persons, place, and time | * [[Mononeuritis multiplex]] - [[foot drop]], [[wrist drop]] | ||
* [[Nerve palsy|Cranial nerve palsy]] | |||
* | |||
* | |||
* | |||
===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with [ | * Extremities examination of patients with [[eosinophilic granulomatosis with polyangiitis]] may show tingling and numbness of extremities. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 14:46, 6 April 2018
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Churg-Strauss syndrome physical examination On the Web |
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Risk calculators and risk factors for Churg-Strauss syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [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
- Physical examination of patients with [disease name] is usually normal.
OR
- Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Appearance of the Patient
- Patients with [disease name] usually appear [general appearance].
Vital Signs
- High-grade / low-grade fever
- Hypothermia / hyperthermia may be present
- Tachycardia with regular pulse or (ir)regularly irregular pulse
- Bradycardia with regular pulse or (ir)regularly irregular pulse
- Tachypnea / bradypnea
- Kussmal respirations may be present in _____ (advanced disease state)
- Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
- High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure
Skin
- Skin examination of patients with [disease name] is usually normal.
OR
-
Description (Adapted from Dermatology Atlas)
-
Description (Adapted from Dermatology Atlas)
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 eosinophilic granulomatosis with polyangiitis is usually normal.
Lungs
- Wheezing
- Expiratory ronchi
OR
- Asymmetric chest expansion / Decreased chest expansion
- Lungs are hypo/hyperresonant
- Expiratory/inspiratory wheezing with normal / delayed expiratory phase
- Wheezing may be present
- Egophony present/absent
- Bronchophony present/absent
- Normal/reduced tactile fremitus
Heart
- Cardiovascular examination of patients with [disease name] is usually normal.
OR
- Chest tenderness upon palpation
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S1
- S2
- S3
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen
Abdominal examination of patients with eosinophilic granulomatosis with polyangiitis may show :
- Abdominal tenderness
- Gaurding
Back
- Back examination of patients with eosinophilic granulomatosis with polyangiitis is usually normal.
Genitourinary
- Genitourinary examination of patients with eosinophilic granulomatosis with polyangiitis is usually normal.
Neuromuscular
- Patient is usually oriented to persons, place, and time.
- Peripheral neuropathy
- Mononeuritis multiplex - foot drop, wrist drop
- Cranial nerve palsy
Extremities
- Extremities examination of patients with eosinophilic granulomatosis with polyangiitis may show tingling and numbness of extremities.