Renal tubular acidosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Patients with acute onset of renal tubular acidosis appear confused and stupor where as with chronic acidosis usually appear tired.

Physical Examination

Appearance of the Patient

Patients with acute onset of renal tubular acidosis appear confused and stupor where as with chronic acidosis usually appear tired.[1]

Vital Signs

  • Tachypnea
  • Tachyacrdia
  • Hyperthermia

Lungs

  • Normal vesicular breathe sounds bilaterally

Heart

  • Dyspnea upon exertion
  • Tachycardia
  • Normal S1 and S2 with no murmors

Musculoskeletal system

  • Bone fragility
  • Decreased ROM
  • Weakness
  • Decreased sensations

Neurological

  • Confusion
  • Stupor
  • Blindness and hearing loss from cranial nerve compressions

Extremities

  • Edema

References

  1. Santos F, Gil-Peña H, Alvarez-Alvarez S (April 2017). "Renal tubular acidosis". Curr. Opin. Pediatr. 29 (2): 206–210. doi:10.1097/MOP.0000000000000460. PMID 28092281.