Focal segmental glomerulosclerosis physical examination: Difference between revisions
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{{Focal segmental glomerulosclerosis}} | {{Focal segmental glomerulosclerosis}} | ||
Physical examination of focal segmental glomerulosclerosis | |||
* | {{CMG}}; {{AE}} {{MKK}} | ||
* | |||
* | ==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 focal segmental glomerulosclerosis is usually normal except there are signs of fluid overload if the disease progress to end-stage renal failure.<ref name="pmid22187987">{{cite journal |vauthors=D'Agati VD, Kaskel FJ, Falk RJ |title=Focal segmental glomerulosclerosis |journal=N. Engl. J. Med. |volume=365 |issue=25 |pages=2398–411 |date=December 2011 |pmid=22187987 |doi=10.1056/NEJMra1106556 |url=}}</ref> | |||
===Appearance of the Patient=== | |||
*Patients with focal segmental glomerulosclerosis usually appear lethargic | |||
===Vital Signs=== | |||
*Afebrile | |||
*High blood pressure with normal pulse pressure | |||
===Skin=== | |||
*Skin examination of patients with focal segmental glomerulosclerosis is usually normal | |||
===HEENT=== | |||
*HEENT examination of patients with focal segmental glomerulosclerosis is usually normal | |||
*Swelling of periorbital sometimes resulting in swollen-shut eyelids | |||
===Neck=== | |||
*Neck examination of patients with focal segmental glomerulosclerosis is usually normal | |||
*[[Jugular venous distension]] is seen in fluid overload | |||
===Lungs=== | |||
* Pulmonary examination of patients with focal segmental glomerulosclerosis 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 focal segmental glomerulosclerosis is usually normal | |||
===Abdomen=== | |||
*[[Abdominal distention]] | |||
===Back=== | |||
*Back examination of patients with focal segmental glomerulosclerosis is usually normal | |||
===Genitourinary=== | |||
*Signs of fluid overload can be seen which includes: | |||
**Scrotal edema | |||
**Vulvar edema | |||
===Neuromuscular=== | |||
*Neuromuscular examination of patients with focal segmental glomerulosclerosis is usually normal | |||
===Extremities=== | |||
*Pitting/non-pitting [[edema]] of the upper and lower extremitiesdue to fluid overload | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 14:35, 11 June 2018
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Focal segmental glomerulosclerosis Microchapters |
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Differentiating Focal segmental glomerulosclerosis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, 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 focal segmental glomerulosclerosis 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 focal segmental glomerulosclerosis usually appear lethargic
Vital Signs
- Afebrile
- High blood pressure with normal pulse pressure
Skin
- Skin examination of patients with focal segmental glomerulosclerosis is usually normal
HEENT
- HEENT examination of patients with focal segmental glomerulosclerosis is usually normal
- Swelling of periorbital sometimes resulting in swollen-shut eyelids
Neck
- Neck examination of patients with focal segmental glomerulosclerosis is usually normal
- Jugular venous distension is seen in fluid overload
Lungs
- Pulmonary examination of patients with focal segmental glomerulosclerosis 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 focal segmental glomerulosclerosis is usually normal
Abdomen
Back
- Back examination of patients with focal segmental glomerulosclerosis is usually normal
Genitourinary
- Signs of fluid overload can be seen which includes:
- Scrotal edema
- Vulvar edema
Neuromuscular
- Neuromuscular examination of patients with focal segmental glomerulosclerosis 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.