Nephrotic syndrome physical examination: Difference between revisions

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==Overview==
==Overview==
A full physical examination should be performed among patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic [[rash]] in [[systemic lupus erythematosus]] (SLE), or [[peripheral neuropathy]] in [[diabetes mellitus]].


==Physical Examination==
==Physical Examination==
A full physical examination is always indicated in patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic rash in systemic lupus erythematosus (SLE), or peripheral neuropathy in diabetes mellitus.
In primary nephrotic syndrome, the following findings are generally present.
===Vital Signs===
===Vital Signs===
* High blood pressure, more common in adults
* [[High blood pressure]], more common in adults


===Skin===
===Skin===
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===Lungs===
===Lungs===
*Pulmonary fine crackles
*Pulmonary fine [[crackles]]
*Faint pulmonary auscultation, suggestive of pleural effusion
*Faint pulmonary auscultation, suggestive of [[pleural effusion]]
*Decreased tactile fremitus
*Decreased [[tactile fremitus]]
*Dull percussion
*Dull percussion


===Abdomen===
===Abdomen===
* Abdominal distension
* [[Abdominal distension]]
*Shifting dullness, suggestive of ascites
*Shifting dullness, suggestive of [[ascites]]
*Dull percussion
*Dull percussion


===Extremities===
===Extremities===
*Pitting edema in lower extremities bilaterally
*[[Pitting edema]] in lower extremities bilaterally


==References==
==References==

Revision as of 03:25, 5 April 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian

Overview

A full physical examination should be performed among patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic rash in systemic lupus erythematosus (SLE), or peripheral neuropathy in diabetes mellitus.

Physical Examination

Vital Signs

Skin

  • May have features of underlying cause, such as rash associated with SLE

Eyes

  • Periorbital edema

Lungs

Abdomen

Extremities

References

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