Fibromuscular dysplasia physical examination

Jump to: navigation, search

Fibromuscular dysplasia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Fibromuscular dysplasia 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

Electrocardiorgram

X-ray

CT

MRI

Arteriography

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Management Guidelines

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

ASA/ACCF/AHA Guideline Recommendations

Management of Patients With Fibromuscular Dysplasia of the Extracranial Carotid Arteries

Case Studies

Case #1

Fibromuscular dysplasia physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Fibromuscular dysplasia 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 Fibromuscular dysplasia physical examination

CDC on Fibromuscular dysplasia physical examination

Fibromuscular dysplasia physical examination in the news

Blogs on Fibromuscular dysplasia physical examination

Directions to Hospitals Treating Fibromuscular dysplasia

Risk calculators and risk factors for Fibromuscular dysplasia physical examination

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

Overview

Patients with FMD usually appear normal. In physical examination of patients with FMD mild to moderate hypertension may be detected. In the auscultation of neck among patients with involvement of carotid artery or auscultation of epigastric or flank of renovascular FMD bruits may be heard. Eventullay due to nonspecific sypmtoms and sings of FMD, the diagnosis of this disease needs highly clinical suspicion of healthcare provider.

Physical Examination

  • Physical examination of patients with fibromuscular dysplasia is usually normal. However the most common presentation of renal artery FMD is renovascular hypertension, but in the physical examination of patients enrolled in the US registry for fibromuscular dysplasia mean blood pressure was 130/75 mm Hg.[1]

Appearance of the Patient

  • Patients with FMD usually appear normal.

Vital Signs

  • High blood pressure may be seen among patients with renovascular FMD.

Skin

  • Skin examination of patients with FMD is normal.

HEENT

  • HEENT examination of patients with FMD is normal.

Neck

  • Carotid bruits may be auscultated unilaterally or bilaterally using the bell of the stethoscope.

Abdomen

  • In abdominal examination of patients with FMD, epigastric or flank bruits may be heard.

Extremities

  • While FMD involving the lower extremities most commonly involves the external iliac arteries, extremities examination of patients with FMD is usually normal, however, a bruit caused by iliac FMD may be heard in the lower abdomen from the umbilicus to the inguinal region.
  • FMD involving the upper extremities most commonly involves the brachial arteries, in some cases, there may be discrepant blood pressures in the arms. Arm claudication or a bruit heard over the antecubital fossa is uncommon but may occur.[2]

References

  1. Jeffrey W. Olin, James Froehlich, Xiaokui Gu, J. Michael Bacharach, Kim Eagle, Bruce H. Gray, Michael R. Jaff, Esther S. H. Kim, Pam Mace, Alan H. Matsumoto, Robert D. McBane, Eva Kline-Rogers, Christopher J. White & Heather L. Gornik (2012). "The United States Registry for Fibromuscular Dysplasia: results in the first 447 patients". Circulation. 125 (25): 3182–3190. PMID 22615343. doi:10.1161/CIRCULATIONAHA.112.091223. 
  2. Jeffrey W. Olin, Heather L. Gornik, J. Michael Bacharach, Jose Biller, Lawrence J. Fine, Bruce H. Gray, William A. Gray, Rishi Gupta, Naomi M. Hamburg, Barry T. Katzen, Robert A. Lookstein, Alan B. Lumsden, Jane W. Newburger, Tatjana Rundek, C. John Sperati & James C. Stanley (2014). "Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association". Circulation. 129 (9): 1048–1078. PMID 24548843. doi:10.1161/01.cir.0000442577.96802.8c. 

Linked-in.jpg