A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; further:
- Inspection (viewing).
- Skin and mucous membranes [leading symptoms: generalized edema (water retention occurring throughout the body); morning swelling of eyelids, face, lower legs]
- Auscultation (listening) of the heart [due topossible sequelae: Thrombosis (vein occlusion); pulmonary embolism (occlusion of pulmonary vessels due to a detached thrombus)]
- Auscultation of the lungs
- Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?)
- Digital rectal examination (DRU): examination of the rectum (rectum) [due topossible cause: Crohn’s disease (chronic inflammatory bowel disease)].
- Inspection (viewing).
- Urological/nephrological examination[due todifferential diagnosis: other forms of glomerulonephritis][due topossible sequelae:
- Renal insufficiency (renal weakness/renal failure).
- Renal vein thrombosis (occlusion of renal veins)]
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
