Sjögren’s Syndrome: Examination

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
      • Oral cavity [caries?, inflammation of the oral mucosa?]
    • Saliva or secretion
      • Amount [decreased]
      • Expressed (squeezed saliva or secretion) [turbid].
  • Cancer screening [examination of all lymph node stations [due topossible secondary disease: non-Hodgkin’s lymphoma].
  • Ophthalmological examination [due todifferential diagnosis: keratitis (corneal inflammation)]
  • ENT examination [due topossible sequelae: chronic cough irritation, dysphonia (hoarseness), rhinitis sicca].
  • Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.