Case 8: Physical Exam

Case 8 Index

Vital Signs: Temperature 98°F, Blood Pressure 100/70 mmHg, Heart Rate 70 beats/min, Respiratory Rate 14 breaths/min
General Appearance: In no acute distress
HEENT: Normal conjunctiva, no scleral icterus, moist mucous membranes, clear oropharynx, significant periorbital edema
Lymph: No lymphadenopathy
Cardiovascular: No JVD, regular rhythm, no rubs/murmurs/gallopsstethoscope
Pulmonary: Breath sounds normal bilaterally, no rales/rhonchi/wheezes
Abdominal: Soft, nontender, nondistended, normoactive bowel sounds, no hepatosplenomegaly
Extremities: 3+ pitting edema in lower extremities bilaterally, warm and well perfused
Neurologic: Alert, oriented x3, no focal deficits
Psychiatric: Calm, pleasant
Skin: Warm, dry

What’s at the top of your differential diagnosis? Choose 3 before moving on!
Membranous nephropathy
Henoch-Schonlein purpura
Focal segmental glomerulosclerosis
Acute interstitial nephritis (AIN)
Sickle cell nephropathy
Systemic lupus erythematosus (SLE) nephritis
Minimal change disease
Acute tubular necrosis (ATN)
IgA nephropathy
Hepatitis C-related glomerulonephritis
Post-infectious glomerulonephritis

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Case 8 Index
Case 8 Introduction