Scleroderma physical examination: Difference between revisions
(→Heart) |
|||
| Line 47: | Line 47: | ||
===Heart=== | ===Heart=== | ||
* | *Right ventricular heave can be suggestive of pulmonary arterial hypertension (PAH) | ||
===Abdomen=== | ===Abdomen=== | ||
Revision as of 23:06, 17 April 2018
|
Scleroderma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Scleroderma physical examination On the Web |
|
American Roentgen Ray Society Images of Scleroderma physical examination |
|
Risk calculators and risk factors for Scleroderma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, 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 scleroderma 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
- Vital signs of patients with scleroderma are usually normal
Skin
- Skin induration[1]
- Skin fibrosis
- Telangiectasias
- Calcinosis
HEENT
- HEENT examination of patients with scleroderma is usually normal.
Neck
- Jugular venous distention maybe present suggesting right heart failure due to pulmonary hypertension.
Lungs
- Pulmonary examination of patients with scleroderma is usually normal.
- Inspiratory crackles upon auscultation of the lung are suggestive of interstitial lung disease.
Heart
- Right ventricular heave can be suggestive of pulmonary arterial hypertension (PAH)
Abdomen
Abdominal examination of patients with [disease name] is usually normal.
OR
- Abdominal distention
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness (positive Blumberg sign)
- A palpable abdominal mass in the right/left upper/lower abdominal quadrant
- Guarding may be present
- Hepatomegaly / splenomegaly / hepatosplenomegaly
- Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
Back
- Back examination of patients with scleroderma is usually normal.
Genitourinary
- Genitourinary examination of patients with scleroderma is usually normal.
Neuromuscular
- Neuromuscular examination of patients with scleroderma is usually normal.
Extremities
- Myopathy[1]
- Ulceration of finger tips (ischemic)
- Contractures of finger flexion
- Raynaud's phenomenon[2]
- Dilatation of nailfold capillaries
- Sclerodactyly
References
- ↑ 1.0 1.1 Shah AA, Wigley FM (April 2013). "My approach to the treatment of scleroderma". Mayo Clin. Proc. 88 (4): 377–93. doi:10.1016/j.mayocp.2013.01.018. PMC 3666163. PMID 23541012.
- ↑ Wigley FM (September 2002). "Clinical practice. Raynaud's Phenomenon". N. Engl. J. Med. 347 (13): 1001–8. doi:10.1056/NEJMcp013013. PMID 12324557.