Churg-Strauss syndrome physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 40: | Line 40: | ||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with | *Skin examination of patients with eosinophilic granulomatosis with polyangiitis may show: | ||
**Petechiae | |||
* | **Ecchymosis | ||
* | **Purpura | ||
* | **Nodules | ||
* | |||
===HEENT=== | ===HEENT=== | ||
* | *Sinusitis | ||
*Rhinitis | |||
*Nasal polyps | |||
*Otitis media | |||
*Hearing acuity may be reduced | |||
*[[Weber test]] may be abnormal | |||
* | *[[Rinne test]] may be abnormal | ||
* | |||
* | |||
* Hearing acuity may be reduced | |||
*[[Weber test]] may be abnormal | |||
*[[Rinne test]] may be | |||
*Inflamed nares / congested nares | *Inflamed nares / congested nares | ||
*Facial tenderness | |||
* Facial tenderness | |||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with [[eosinophilic granulomatosis with polyangiitis]] is usually normal. | * Neck examination of patients with [[eosinophilic granulomatosis with polyangiitis]] is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
* [[Wheeze|Wheezing]] | The examination may show signs of: | ||
* Expiratory ronchi | *Asthma | ||
**[[Wheeze|Wheezing]] | |||
**Expiratory ronchi | |||
* | *Pleural effusion | ||
* | *Pulmonary hypertension(Basilar crackles) | ||
===Heart=== | ===Heart=== | ||
| Line 114: | Line 93: | ||
* Patient is usually oriented to persons, place, and time. | * Patient is usually oriented to persons, place, and time. | ||
* [[Peripheral neuropathy]] | * [[Peripheral neuropathy]] | ||
* [[Mononeuritis multiplex]] - [[foot drop]], [[wrist drop]] | * [[Mononeuritis multiplex]] - [[foot drop]], [[wrist drop]]<ref name="pmid20050889">{{cite journal |vauthors=Wolf J, Bergner R, Mutallib S, Buggle F, Grau AJ |title=Neurologic complications of Churg-Strauss syndrome--a prospective monocentric study |journal=Eur. J. Neurol. |volume=17 |issue=4 |pages=582–8 |date=April 2010 |pmid=20050889 |doi=10.1111/j.1468-1331.2009.02902.x |url=}}</ref> | ||
* [[Nerve palsy|Cranial nerve palsy]] | * [[Nerve palsy|Cranial nerve palsy]] | ||
* Stroke | |||
===Extremities=== | ===Extremities=== | ||
Revision as of 15:04, 6 April 2018
|
Churg-Strauss syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Churg-Strauss syndrome physical examination On the Web |
|
American Roentgen Ray Society Images of Churg-Strauss syndrome physical examination |
|
Risk calculators and risk factors for Churg-Strauss syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, 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 [disease name] is usually normal.
OR
- Physical examination of patients with [disease name] 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
- High-grade / low-grade fever
- Hypothermia / hyperthermia may be present
- Tachycardia with regular pulse or (ir)regularly irregular pulse
- Bradycardia with regular pulse or (ir)regularly irregular pulse
- Tachypnea / bradypnea
- Kussmal respirations may be present in _____ (advanced disease state)
- Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
- High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure
Skin
- Skin examination of patients with eosinophilic granulomatosis with polyangiitis may show:
- Petechiae
- Ecchymosis
- Purpura
- Nodules
HEENT
- Sinusitis
- Rhinitis
- Nasal polyps
- Otitis media
- Hearing acuity may be reduced
- Weber test may be abnormal
- Rinne test may be abnormal
- Inflamed nares / congested nares
- Facial tenderness
Neck
- Neck examination of patients with eosinophilic granulomatosis with polyangiitis is usually normal.
Lungs
The examination may show signs of:
- Asthma
- Wheezing
- Expiratory ronchi
- Pleural effusion
- Pulmonary hypertension(Basilar crackles)
Heart
- Cardiovascular examination of patients with [disease name] is usually normal.
OR
- Chest tenderness upon palpation
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S1
- S2
- S3
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen
Abdominal examination of patients with eosinophilic granulomatosis with polyangiitis may show :
- Abdominal tenderness
- Gaurding
Back
- Back examination of patients with eosinophilic granulomatosis with polyangiitis is usually normal.
Genitourinary
- Genitourinary examination of patients with eosinophilic granulomatosis with polyangiitis is usually normal.
===Neuromuscular===[1]
- Patient is usually oriented to persons, place, and time.
- Peripheral neuropathy
- Mononeuritis multiplex - foot drop, wrist drop[1]
- Cranial nerve palsy
- Stroke
Extremities
- Extremities examination of patients with eosinophilic granulomatosis with polyangiitis may show tingling and numbness of extremities.