Polycystic kidney disease physical examination: Difference between revisions

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{{Polycystic kidney disease}}
{{Polycystic kidney disease}}
{{CMG}} {{AE}} {{MKA}} [[User:Sergekorjian|Serge Korjian]],[[User:YazanDaaboul|Yazan Daaboul]]
{{CMG}}; {{AE}}{{MKA}}, [[User:Sergekorjian|Serge Korjian]],[[User:YazanDaaboul|Yazan Daaboul]]


==Overview==
==Overview==
Patients with polycystic kidney disease usually are in discomfort. Physical examination of patients with polycystic kidney disease is usually remarkable for hypertension, jaundice, pallor, icteric sclera, palpable nodular hepatomegaly, palpable flank mass.  
Patients with polycystic kidney disease usually are in discomfort. Physical examination of patients with polycystic kidney disease is usually remarkable for [[hypertension]], [[jaundice]], [[pallor]], icteric [[sclera]], [[palpable]] [[nodular]] [[hepatomegaly]], [[palpable]] [[flank]] [[mass]].  


==Physical Examination==
==Physical Examination==
Physical examination of patients with polycystic kidney disease is usually remarkable for hypertension, jaundice, pallor, icteric sclera, palpable nodular hepatomegaly, palpable flank mass.  
Physical examination of patients with polycystic kidney disease is usually remarkable for [[hypertension]], [[jaundice]], [[pallor]], icteric [[sclera]], [[palpable]] [[nodular]] [[hepatomegaly]], [[palpable]] [[flank]] [[mass]].<ref name="pmid8321262">{{cite journal| author=Gabow PA| title=Autosomal dominant polycystic kidney disease. | journal=N Engl J Med | year= 1993 | volume= 329 | issue= 5 | pages= 332-42 | pmid=8321262 | doi=10.1056/NEJM199307293290508 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8321262 }} </ref><ref name="pmid17434405">{{cite journal| author=Torres VE, Harris PC, Pirson Y| title=Autosomal dominant polycystic kidney disease. | journal=Lancet | year= 2007 | volume= 369 | issue= 9569 | pages= 1287-301 | pmid=17434405 | doi=10.1016/S0140-6736(07)60601-1 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17434405 }} </ref><ref name="pmid26413277">{{cite journal |vauthors=Baker A, King D, Marsh J, Makin A, Carr A, Davis C, Kirby C |title=Understanding the physical and emotional impact of early-stage ADPKD: experiences and perspectives of patients and physicians |journal=Clin Kidney J |volume=8 |issue=5 |pages=531–7 |date=October 2015 |pmid=26413277 |pmc=4581379 |doi=10.1093/ckj/sfv060 |url=}}</ref>


===Appearance of the Patient===
===Appearance of the Patient===
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===Vital Signs===
===Vital Signs===
*Hypertension
*[[Hypertension]]


===Skin===
===Skin===
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===HEENT===
===HEENT===
*Icteric sclera  
*Icteric [[sclera]]


===Neck===
===Neck===
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===Lungs===
===Lungs===
*Pulmonary examination of patients with polycystic kidney disease is usually normal
*[[Pulmonary]] examination of patients with polycystic kidney disease is usually normal


===Heart===
===Heart===
*Cardiovascular examination of patients with polycystic kidney disease is usually normal
*[[Cardiovascular]] examination of patients with polycystic kidney disease is usually normal


===Abdomen===
===Abdomen===
*A palpable abdominal mass in the lumbar quadrant
*A [[palpable]] [[abdominal]] [[mass]] in the [[lumbar]] quadrant
*Palpable nodular hepatomegaly
*[[Palpable]] [[nodular]] [[hepatomegaly]]


===Back===
===Back===
*Palpable mass in the flank
*[[Palpable]] [[mass]] in the [[flank]]
*Costovertebral angle tenderness
*[[Costovertebral]] [[angle]] [[tenderness]]


===Genitourinary===
===Genitourinary===
*Genitourinary examination of patients with polycystic kidney disease is usually normal
*[[Genitourinary]] examination of patients with polycystic kidney disease is usually normal


===Neuromuscular===
===Neuromuscular===
*Neuromuscular examination of patients with polycystic kidney disease is usually normal
*[[Neuromuscular]] examination of patients with polycystic kidney disease is usually normal


===Extremities===
===Extremities===
*Pitting [[edema]] of the upper/lower extremities
*[[Pitting edema]] of the upper/lower [[extremities]]


==References==
==References==
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[[Category:Up-To-Date]]
[[Category:Up-To-Date]]
[[Category:Primary care]]
[[Category:Medicine]]
[[Category:Medicine]]
[[Category:Nephrology]]
[[Category:Nephrology]]

Latest revision as of 23:46, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2], Serge Korjian,Yazan Daaboul

Overview

Patients with polycystic kidney disease usually are in discomfort. Physical examination of patients with polycystic kidney disease is usually remarkable for hypertension, jaundice, pallor, icteric sclera, palpable nodular hepatomegaly, palpable flank mass.

Physical Examination

Physical examination of patients with polycystic kidney disease is usually remarkable for hypertension, jaundice, pallor, icteric sclera, palpable nodular hepatomegaly, palpable flank mass.[1][2][3]

Appearance of the Patient

  • Patients with polycystic kidney disease usually are in discomfort

Vital Signs

Skin

HEENT

Neck

  • Neck examination of patients with polycystic kidney disease is usually normal

Lungs

  • Pulmonary examination of patients with polycystic kidney disease is usually normal

Heart

  • Cardiovascular examination of patients with polycystic kidney disease is usually normal

Abdomen

Back

Genitourinary

  • Genitourinary examination of patients with polycystic kidney disease is usually normal

Neuromuscular

  • Neuromuscular examination of patients with polycystic kidney disease is usually normal

Extremities

References

  1. Gabow PA (1993). "Autosomal dominant polycystic kidney disease". N Engl J Med. 329 (5): 332–42. doi:10.1056/NEJM199307293290508. PMID 8321262.
  2. Torres VE, Harris PC, Pirson Y (2007). "Autosomal dominant polycystic kidney disease". Lancet. 369 (9569): 1287–301. doi:10.1016/S0140-6736(07)60601-1. PMID 17434405.
  3. Baker A, King D, Marsh J, Makin A, Carr A, Davis C, Kirby C (October 2015). "Understanding the physical and emotional impact of early-stage ADPKD: experiences and perspectives of patients and physicians". Clin Kidney J. 8 (5): 531–7. doi:10.1093/ckj/sfv060. PMC 4581379. PMID 26413277.

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