Fibromuscular dysplasia physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with fibromuscular dysplasia without | *Physical examination of patients with fibromuscular dysplasia without clinical suspicion is usually normal. However the most common presentation of [[renal artery]] FMD is [[renovascular hypertension]], but in the physical examination of patients enrolled in the US registry for fibromuscular dysplasia mean blood pressure was 130/75 mm Hg.<ref>{{Cite journal | ||
| author = [[Jeffrey W. Olin]], [[James Froehlich]], [[Xiaokui Gu]], [[J. Michael Bacharach]], [[Kim Eagle]], [[Bruce H. Gray]], [[Michael R. Jaff]], [[Esther S. H. Kim]], [[Pam Mace]], [[Alan H. Matsumoto]], [[Robert D. McBane]], [[Eva Kline-Rogers]], [[Christopher J. White]] & [[Heather L. Gornik]] | | author = [[Jeffrey W. Olin]], [[James Froehlich]], [[Xiaokui Gu]], [[J. Michael Bacharach]], [[Kim Eagle]], [[Bruce H. Gray]], [[Michael R. Jaff]], [[Esther S. H. Kim]], [[Pam Mace]], [[Alan H. Matsumoto]], [[Robert D. McBane]], [[Eva Kline-Rogers]], [[Christopher J. White]] & [[Heather L. Gornik]] | ||
| title = The United States Registry for Fibromuscular Dysplasia: results in the first 447 patients | | title = The United States Registry for Fibromuscular Dysplasia: results in the first 447 patients | ||
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*The presence of [[carotid bruits]] on physical examination has less [[sensitivity]] however its [[specificity]] for identifying [[extracranial]] FMD is highly suggestive. | *The presence of [[carotid bruits]] on physical examination has less [[sensitivity]] however its [[specificity]] for identifying [[extracranial]] FMD is highly suggestive. | ||
*The presence of an epigastric or [[flank bruit on physical examination, such as [[carotid bruits]] is low, however, its presence strongly suggestive of renal or mesenteric FMD. | *The presence of an epigastric or [[flank bruit on physical examination, such as [[carotid bruits]] is low, however, its presence strongly suggestive of renal or mesenteric FMD. | ||
*In addition, focal neurological deficits, cranial nerve involvement, pupil abnormality or ptosis (findings consistent with Horner | *In addition, focal neurological deficits, [[cranial nerve]] involvement, [[pupil]] abnormality or [[ptosis]] (findings consistent with [[Horner | ||
syndrome) may be detected in FMD. | syndrome]]) may be detected in FMD. | ||
==References== | ==References== | ||
Revision as of 04:57, 15 June 2018
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Fibromuscular dysplasia Microchapters |
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Diagnosis |
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Treatment |
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ASA/ACCF/AHA Guideline Recommendations |
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Management of Patients With Fibromuscular Dysplasia of the Extracranial Carotid Arteries |
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Case Studies |
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Fibromuscular dysplasia physical examination On the Web |
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American Roentgen Ray Society Images of Fibromuscular dysplasia physical examination |
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Risk calculators and risk factors for Fibromuscular dysplasia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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 fibromuscular dysplasia without clinical suspicion is usually normal. However the most common presentation of renal artery FMD is renovascular hypertension, but in the physical examination of patients enrolled in the US registry for fibromuscular dysplasia mean blood pressure was 130/75 mm Hg.[1]
- The presence of carotid bruits on physical examination has less sensitivity however its specificity for identifying extracranial FMD is highly suggestive.
- The presence of an epigastric or [[flank bruit on physical examination, such as carotid bruits is low, however, its presence strongly suggestive of renal or mesenteric FMD.
- In addition, focal neurological deficits, cranial nerve involvement, pupil abnormality or ptosis (findings consistent with [[Horner
syndrome]]) may be detected in FMD.
References
- ↑ Jeffrey W. Olin, James Froehlich, Xiaokui Gu, J. Michael Bacharach, Kim Eagle, Bruce H. Gray, Michael R. Jaff, Esther S. H. Kim, Pam Mace, Alan H. Matsumoto, Robert D. McBane, Eva Kline-Rogers, Christopher J. White & Heather L. Gornik (2012). "The United States Registry for Fibromuscular Dysplasia: results in the first 447 patients". Circulation. 125 (25): 3182–3190. doi:10.1161/CIRCULATIONAHA.112.091223. PMID 22615343. Unknown parameter
|month=ignored (help)