SLE (Lupus) Physical Exam OSCE Prep
Автор: Evan Graham
Загружено: 2020-11-23
Просмотров: 8561
Systemic Lupus Erythematous exam summary- Royal College Review:
1. Appearance: cushingoid
2. Vitals: Fever,
Hypoxemia & tachycardia if cardiopulmonary involvement
, Hypertension – cardiac or renal involvement
3. Head and neck: Malar rash, discoid lesions, lymphadenopathy, alopecia, keratoconjunctivitis sicca, episcleritis, scleritis, uveitis, hypopyon
, facial telangiectasia, painless oral/nasal ulcer
4. Pulmonary- Pleural rub, pleural effusion, interstitial lung disease findings
5. Cardiac- valve findings (marantic endocarditis), pericardial effusion, CHF
6. Abdomen- splenomegaly, pain from serositis/peritonitis
7. Neuro- possible findings broad. Consider screening neurologic exam with strength, gait, cranial nerves, reflexes, sensation
8. MSK- non erosive arthritis
9. Extremities- Raynaud's, livedo reticularis, vasculitis
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