Nephrotic syndrome physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian
Overview
A full physical examination should be performed among patients presenting with nephrotic syndrome. Findings on physical examination suggestive of secondary etiologies may be present, such as characteristic rash in systemic lupus erythematosus (SLE), or peripheral neuropathy in diabetes mellitus.
Physical Examination
Vital Signs
- High blood pressure, more common in adults
Skin
Eyes
Lungs
- Pulmonary fine crackles
- Faint pulmonary auscultation, suggestive of pleural effusion
- Decreased tactile fremitus
- Dull percussion
Abdomen
- Abdominal distension
- Shifting dullness, suggestive of ascites
- Dull percussion
Extremities
- Pitting edema in lower extremities bilaterally