Case 4: Physical Exam

Case 4 Index

Vital Signs: Temperature 99°F, Blood Pressure 110/70 mmHg, Heart Rate 95 beats/min, Respiratory Rate 18 breaths/min

General Appearance: In no acute distress
HEENT: Normal conjunctiva, no scleral icterus, dry mucous membranes, clear oropharynx
Lymph: No lymphadenopathy
stethoscopeCardiovascular: No JVD, Regular rate and rhythm, no murmur, rub, or gallop
Pulmonary: Lungs clear to auscultation bilaterally, no wheezes or rhonchi, normal respiratory effort on room air
Abdominal: Soft, nontender, nondistended, normoactive bowel sounds, no hepatosplenomegaly
Extremities: Warm and well perfused extremities, lower extremities tender to palpation bilaterally, no pitting edema in extremities bilaterally
Neurologic: Alert, oriented to person/place/time, no focal deficits, no asterixis
Psychiatric: Calm, pleasant
Skin: Warm, dry

What’s at the top of your differential diagnosis? Choose 3 before moving on!
Post-infectious glomerulonephritis (PIGN)
Obstructive nephroprathy
Acute interstitial nephritis (AIN)
Systemic lupus erythematosus (SLE) nephritis
Anti-nuclear cytoplasmic antibody (ANCA) associated glomerulonephritis
Acute tubular necrosis (ATN)
IgA nephropathy

Click here to move on!

Case 4 Index
Case 4 Introduction