By Paul D. Chan, Peter J. Winkle
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Extra resources for History and Physical Examination (Current Clinical Strategies)
Differential Diagnosis: Nephrolithiasis, appendicitis, cystitis, pyelonephritis, diverticulitis, salpingitis, torsion of hernia, ovarian torsion, ovarian cyst rupture or hemorrhage, bladder obstruction, prostatitis, prostate cancer, endometriosis, ectopic pregnancy, colonic obstruction, carcinoma (colon, prostrate, cervix, blad der).
Excessive bleeding, flank pain, anorexia, insomnia, fatigue, malaise, weight loss, paresthesias, anemia. Past Medical History: Past ultrasounds, kidney stones, prostate disease, urethral obstruction. Medications: Nonsteroidal anti-inflammatory drugs, aminoglycosides, contrast dyes. Family History: Polycystic kidney disease, hereditary glomerulonephritis. Physical Examination General Appearance: Evaluate intravascular volume status. Signs of fluid overload. Note whether the patient appears ill, well, or lethargic.
Physical Examination General Appearance: Level of consciousness, lethargy. Note whether the patient appears ill or well. Vital Signs: BP, pulse (bradycardia), temperature, respiratory rate. Cushing’s response (bradycardia, hypertension, abnormal respirations). HEENT: Signs of head trauma, pupil size and reactivity, extraocular movements. Fundi: hypertensive retinopathy, Roth spots (flame-shaped lesions, endocarditis), retinal hemorrhages (subarachnoid hemorrhage), papilledema; facial asymmetry or weak ness.
History and Physical Examination (Current Clinical Strategies) by Paul D. Chan, Peter J. Winkle