Focal segmental glomerulosclerosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]

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 of patients with focal segmental glomerulosclerosis is usually normal except there are signs of fluid overload if the disease progress to end-stage renal failure.^[1]

• Patients with focal segmental glomerulosclerosis usually appear lethargic

• Afebrile
• High blood pressure with normal pulse pressure

• Skin examination of patients with focal segmental glomerulosclerosis is usually normal

• HEENT examination of patients with focal segmental glomerulosclerosis is usually normal
• Swelling of periorbital sometimes resulting in swollen-shut eyelids

• Neck examination of patients with focal segmental glomerulosclerosis is usually normal
• Jugular venous distension is seen in fluid overload

• Pulmonary examination of patients with focal segmental glomerulosclerosis is usually normal, however, if there is fluid overload, following signs are seen:
• Lungs are hyporesonant
• Fine/coarse crackles upon auscultation of the lung bases bilaterally

• Cardiovascular examination of patients with focal segmental glomerulosclerosis is usually normal

• Abdominal distention

• Back examination of patients with focal segmental glomerulosclerosis is usually normal

• Signs of fluid overload can be seen which includes:
  • Scrotal edema
  • Vulvar edema

• Neuromuscular examination of patients with focal segmental glomerulosclerosis is usually normal

• Pitting/non-pitting edema of the upper and lower extremitiesdue to fluid overload

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