Scleroderma physical examination

Scleroderma Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Scleroderma from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
CT
MRI
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Scleroderma physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Scleroderma physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Scleroderma physical examination
CDC on Scleroderma physical examination
Scleroderma physical examination in the news
Blogs on Scleroderma physical examination
Directions to Hospitals Treating Scleroderma
Risk calculators and risk factors for Scleroderma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, 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 scleroderma 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

• Vital signs of patients with scleroderma are usually normal

Skin

• Skin induration
• Skin fibrosis
• Telangiectasias
• Calcinosis

HEENT

• HEENT examination of patients with scleroderma is usually normal.

Neck

• Jugular venous distention maybe present suggesting right heart failure due to pulmonary hypertension.

Lungs

• Pulmonary examination of patients with scleroderma is usually normal.
• Inspiratory crackles upon auscultation of the lung are suggestive of interstitial lung disease.

Heart

• Right ventricular heave can be suggestive of pulmonary arterial hypertension (PAH)

Abdomen

• Abdominal distention

Back

• Back examination of patients with scleroderma is usually normal.

Genitourinary

• Genitourinary examination of patients with scleroderma is usually normal.

Neuromuscular

• Neuromuscular examination of patients with scleroderma is usually normal.

Extremities

• Myopathy
• Ulceration of finger tips (ischemic)
• Contractures of finger flexion
• Raynaud's phenomenon
• Dilatation of nailfold capillaries
• Sclerodactyly