1. By: Dr.AlShelleh,Sameeha Students seminars
Physical signs in CKD
By: Dr.AlShelleh,Sameeha
Students seminars

2. Lets go from up  down!

3. Head and neck

4. Earthy colour/pallor.
+/- swollen face.
Eyes:arcus senilous,pallor,don’t forget the fundal exam( HTN,DM,vasculitis,SBE..).
Mouth: odor.
Rash: lupus, vasculitis, CTD.
Neck: look for the access.

5. IJ HD catheter

6. SCV HD catheter

7. Chest: Dialysis catheter.
Signs of liver disease (HRD,CKD with chronic liver disease).
Tattoos.
Scratch marks.
Browns tumor affecting the ribs.

8. Heart and CV.
Friction rub indicating uremic pericarditis,S3 or S4,muffled heart sounds in pericardial effusion.
Pulses and blood pressure.
AVF or graft and complications.

9. AVF or Graft?

10. Graft or AVF?

11. What is this?

12. Abdomen: Ascitis: in nephrotic syndrome. Scratch marks. PD cath.
Scar of renal transplant.
Polycystic kidneys.
renal bruit.
Calciphylaxis:

13. Calciphylaxis

14. Calciphylaxis

15. PD catheter:

16. Parasternal PD cath

17. Renal transplant scar:

18. Donors!!

19. Limbs Edema. Amputations. Scratch marks. AVF or graft, femoral lines.
Calciphylaxis.
Pulses.