Post-streptococcal glomerulonephritis physical examination

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

Overview

Patients with post-streptococcal glomerulonephritis usually appear lethargic. On physical examination, patients usually have high blood pressure, periorbital edema and edema of extremities.

Physical Examination

Physical examination of patients with post-streptococcal glomerulonephritis is usually remarkable for:^[1]^[2]
- Hypertension
- Edema

Appearance of the Patient

Patients with post-streptococcal glomerulonephritis usually appear lethargic.

Vital Signs

Afebrile
Normal pulse
High blood pressure with normal pulse pressure

Skin

Skin examination of patients with post-streptococcal glomerulonephritis is usually normal.

HEENT

Periorbital edema

Neck

Neck examination of patients with post-streptococcal glomerulonephritis is usually normal.

Lungs

Pulmonary examination of patients with post-streptococcal glomerulonephritis is usually normal.

Heart

Cardiovascular examination of patients with post-streptococcal glomerulonephritis is usually normal.

Abdomen

Abdominal examination of patients with post-streptococcal glomerulonephritis is usually normal.

Back

Back examination of patients with post-streptococcal glomerulonephritis is usually normal.

Genitourinary

Genitourinary examination of patients with post-streptococcal glomerulonephritis is usually normal.

Neuromuscular

Neuromuscular examination of patients with Post-streptococcal glomerulonephritis is usually normal.

Extremities

Pitting edema of the upper and lower extremities

References

↑ Fux CA, Bianchetti MG, Jakob SM, Remonda L (January 2006). “Reversible encephalopathy complicating post-streptococcal glomerulonephritis”. Pediatr. Infect. Dis. J. 25 (1): 85–7. PMID 16395114.
↑ Sagel I, Treser G, Ty A, Yoshizawa N, Kleinberger H, Yuceoglu AM, Wasserman E, Lange K (October 1973). “Occurrence and nature of glomerular lesions after group A streptococci infections in children”. Ann. Intern. Med. 79 (4): 492–9. PMID 4795879.

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[pmid16395114-1] Fux CA, Bianchetti MG, Jakob SM, Remonda L (January 2006). “Reversible encephalopathy complicating post-streptococcal glomerulonephritis”. Pediatr. Infect. Dis. J. 25 (1): 85–7. PMID 16395114.

[pmid4795879-2] Sagel I, Treser G, Ty A, Yoshizawa N, Kleinberger H, Yuceoglu AM, Wasserman E, Lange K (October 1973). “Occurrence and nature of glomerular lesions after group A streptococci infections in children”. Ann. Intern. Med. 79 (4): 492–9. PMID 4795879.

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