Physical examinationProbable causes
Vital signs
Elevated temperaturePossible infection
Blood pressureHypertension: nephrotic syndrome, malignant hypertension
Hypotension: volume depletion, sepsis
Weight loss or gainHypovolemia, hypervolemia
MouthDehydration
Jugular veins and axillae (perspiration)Hypovolemia, hypervolemia
Pulmonary systemSigns of heart failure
HeartNew murmur of endocarditis, signs of heart failure
AbdomenBladder distention suggesting urethral obstruction
PelvisPelvic mass
RectumEnlarged prostate
SkinRash of interstitial nephritis, purpura of microvascular disease, livedo reticularis suggestive of atheroembolic disease, splinter hemorrhages or Osler’s nodes of endocarditis