Diabetic nephropathy physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The majority of patients with diabetic nephropathy are asymptomatic. However, patients may present with other signs of [[diabetes mellitus]] or [[chronic renal failure]]. | The majority of patients with diabetic nephropathy are asymptomatic. However, patients may present with other signs of [[diabetes mellitus]] or [[chronic renal failure]]. | ||
==Physical Examination== | ==Physical Examination== | ||
* The majority of patients with diabetic nephropathy are asymptomatic. However, patients may present with other signs of [[diabetes mellitus]] or [[chronic renal failure]]. | |||
* The most common signs to look for in patients with diabetic nephropathy are those related to [[hypertension]] and volume overload. Examples include: | |||
** Peripheral [[edema]], | |||
** [[Periorbital edema]] and | |||
'''For full physical examination findings of [[chronic renal failure]], click [[Chronic renal failure physical examination|here]]''' <br> | ** [[Shortness of breath]]. | ||
'''For full physical examination findings of [[diabetes mellitus]], click [[Diabetes mellitus physical examination|here]]''' | ** [[Retinopathy]] is a strong indicator that [[kidney]] involvement.<ref name="pmid11948275">{{cite journal |vauthors=Remuzzi G, Schieppati A, Ruggenenti P |title=Clinical practice. Nephropathy in patients with type 2 diabetes |journal=N. Engl. J. Med. |volume=346 |issue=15 |pages=1145–51 |year=2002 |pmid=11948275 |doi=10.1056/NEJMcp011773 |url=}}</ref><ref name="pmid20054047">{{cite journal |vauthors=Abboud H, Henrich WL |title=Clinical practice. Stage IV chronic kidney disease |journal=N. Engl. J. Med. |volume=362 |issue=1 |pages=56–65 |year=2010 |pmid=20054047 |doi=10.1056/NEJMcp0906797 |url=}}</ref><ref name="pmid11948275">{{cite journal |vauthors=Remuzzi G, Schieppati A, Ruggenenti P |title=Clinical practice. Nephropathy in patients with type 2 diabetes |journal=N. Engl. J. Med. |volume=346 |issue=15 |pages=1145–51 |year=2002 |pmid=11948275 |doi=10.1056/NEJMcp011773 |url=}}</ref><br> | ||
'''For full physical examination findings of [[chronic renal failure]], click [[Chronic renal failure physical examination|here]].''' <br>'''For full physical examination findings of [[diabetes mellitus]], click [[Diabetes mellitus physical examination|here]].''' | |||
==References== | ==References== |
Latest revision as of 17:41, 16 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
The majority of patients with diabetic nephropathy are asymptomatic. However, patients may present with other signs of diabetes mellitus or chronic renal failure.
Physical Examination
- The majority of patients with diabetic nephropathy are asymptomatic. However, patients may present with other signs of diabetes mellitus or chronic renal failure.
- The most common signs to look for in patients with diabetic nephropathy are those related to hypertension and volume overload. Examples include:
- Peripheral edema,
- Periorbital edema and
- Shortness of breath.
- Retinopathy is a strong indicator that kidney involvement.[1][2][1]
For full physical examination findings of chronic renal failure, click here.
For full physical examination findings of diabetes mellitus, click here.
References
- ↑ 1.0 1.1 Remuzzi G, Schieppati A, Ruggenenti P (2002). "Clinical practice. Nephropathy in patients with type 2 diabetes". N. Engl. J. Med. 346 (15): 1145–51. doi:10.1056/NEJMcp011773. PMID 11948275.
- ↑ Abboud H, Henrich WL (2010). "Clinical practice. Stage IV chronic kidney disease". N. Engl. J. Med. 362 (1): 56–65. doi:10.1056/NEJMcp0906797. PMID 20054047.