Vasculitis physical examination: Difference between revisions

	Vasculitis
Overview
Classification Large-sized vessel vasculitis Takayasu's Arteritis Temporal Arteritis Medium-sized vessel vasculitis Kawasaki's Disease Polyarteritis Nodosa Small-sized vessel vasculitis Churg-Strauss Syndrome Cutaneous leukocytoclastic vasculitis Essential cryoglobulinemic vasculitis Henoch-Schonlein Purpura Microscopic polyangiitis Wegener's Granulomatosis Variable-sized vessel vasculitis Sjogren syndrome Cogan syndrome Single organ vasculitis Primary central nervous system angiitis
Causes
Differential Diagnosis

VisualWikitext

Latest revision as of 17:47, 19 June 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2] Jesus Rosario Hernandez, M.D. [3] Kiran Singh, M.D. [4]

Overview

Physical Examination

Vitals

Temperature

Elevated body temperature may be present (fever)

Pulse

Rate

Tachycardia may be present

Strength

Decreased pulsation of one or both brachial arteries - Takayasu arteritis
Decreased pulsations in the temporal artery - Temporal arteritis

Blood Pressure

At least 10 mmHg systolic difference in both arms - in Takayasu arteritis
New onset diastolic blood pressure > 90 mmHg - Polyarteritis nodosa

Skin

Palpable purpura - if patients have this in isolation, it is most likely due to cutaneous leukocytoclastic vasculitis. If the purpura is in combination with systemic organ involvement, it is most likely to be Henoch-Schonlein purpura or microscopic polyarteritis.
Livedo reticularis - Polyarteritis nodosa
Erythema of palms/soles, edema of hands/feet, periungual desquamation, polymorphous rash - Kawasaki disease
Palpable purpura, maculopapular rash - Hypersensitivity vasculitis

(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)

Leucocytoclastic vasculitis; pustular type

Vasculitis: In this instance, the vasculitic skin lesions were secondary to Haemophilus endocarditis.

Vasculitis: In this instance, idiopathic with palpable purpura.

Vasculitis: Palpable Purpura: Secondary to idiopathic leukocytoplastic vasculitis.

Vasculitis: In this instance, idiopathic.

Images of vasculitis after Streptococcal throat infection

Eye

Bilateral conjunctival injection - Kawasaki disease

Head

Tenderness on the sides of the head - Temporal arteritis
Tenderness on the head may be present in Takayasu arteritis
Nasal or oral inflammation (oral ulcers or purulent/bloody nasal discharge, may be painful) - Wegener's granulomatosis
Cervical lymphadenopathy (at least one node > 1.5 cm), injected or fissured lips, injected pharynx, or strawberry tongue - Kawasaki disease

Heart

Auscultation

Bruit over one or both carotid arteries or abdominal aorta - Takayasu arteritis

Extremities

Claudication

Gallery

Lower extremity

url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>

url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>

url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>

url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>

url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>

url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>

url = http://atlasdermatologico.com.br/disease.jsf?

url = http://atlasdermatologico.com.br/disease.jsf?

.Allergicvasculitis Adapted from Dermatology Atlas.^[1]
.Allergicvasculitis Adapted from Dermatology Atlas.^[1]
.Allergicvasculitis Adapted from Dermatology Atlas.^[1]
.Allergicvasculitis Adapted from Dermatology Atlas.^[1]
.Allergicvasculitis Adapted from Dermatology Atlas.^[1]
.Allergicvasculitis Adapted from Dermatology Atlas.^[1]
.Allergicvasculitis Adapted from Dermatology Atlas.^[1]
.Allergicvasculitis Adapted from Dermatology Atlas.^[1]

Neurologic

Mononeuropathy or polyneuropathy - Polyarteritis nodosa, Churg-Strauss arteritis

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 ^1.7 "Dermatology Atlas".

Template:WH Template:WS

[Dermatology_Atlas-1] 1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 ^1.7 "Dermatology Atlas".

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Vasculitis}}
+{{CMG}}; {{AE}} {{MUT}} {{JH}} {{KS}}
-{{CMG}}; '''Associate Editor-In-Chief:''' {{MUT}}
 ==Overview==
@@ Line 25: / Line 24: @@
 * Erythema of palms/soles, edema of hands/feet, periungual desquamation, polymorphous rash -  [[Kawasaki disease]]
 * Palpable [[purpura]], maculopapular rash - [[Hypersensitivity vasculitis]]
-===Eye===
-* Bilateral conjunctival injection - [[Kawasaki disease]]
 (Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)
@@ Line 46: / Line 42: @@
 | [[Image:Skin_vasculitis7.jpg|thumb|Vasculitis: In this instance, idiopathic.]]
 | [[Image:skin_vasculitis5.jpg|thumb|Vasculitis: In this instance, idiopathic with palpable purpura.]]
 |}
 <br clear="left"/>
+'''Images of [[vasculitis]] after Streptococcal throat infection'''
+[[File:Strep vasculitis 1.jpg|Streptococcal vasculitis|left|300px]]
+[[File:Strep vasculitis 2.jpg|Streptococcal vasculitis|left|300px]]
+<br style="clear:left" />
+===Eye===
+* Bilateral conjunctival injection - [[Kawasaki disease]]
 ===Head===
@@ Line 62: / Line 69: @@
 ===Extremities===
 * Claudication
+===Gallery===
+====Lower extremity====
+<gallery>
+Image:Allergic vasculitis_01.jpeg|Allergic vasculitis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=22  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>
+Image:Allergic vasculitis_02.jpeg|Allergic vasculitis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=22  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>
+Image:Allergic vasculitis_03.jpeg|Allergic vasculitis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=22  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>
+Image:Allergic vasculitis_04.jpeg|Allergic vasculitis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=22  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>
+Image:Allergic vasculitis_05.jpeg|Allergic vasculitis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=22  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=22>
+Image:Allergic vasculitis_06.jpeg|Allergic vasculitis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=22  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?
+diseaseId=22>
+Image:Allergicvasculitis07.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Allergicvasculitis08.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Allergicvasculitis09.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Allergicvasculitis10.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Allergicvasculitis11.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Allergicvasculitis12.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Allergicvasculitis13.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Allergicvasculitis14.jpg|.Allergicvasculitis <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+</gallery>
 ===Neurologic===
@@ Line 69: / Line 116: @@
 ==References==
 {{Reflist|2}}
+[[Category:Rheumatology]]
 {{WH}}
 {{WS}}

Vasculitis physical examination: Difference between revisions

Latest revision as of 17:47, 19 June 2017

Overview

Physical Examination

Vitals

Temperature

Pulse

Rate

Strength

Blood Pressure

Skin

Eye

Head

Heart

Auscultation

Extremities

Gallery

Lower extremity

Neurologic

References

Navigation menu