<prompt> Answer this question truthfullyWhat findings are revealed during a physical examination in a case of Membranoproliferative glomerulonephritis?  <response>: <reason> Physical examination of patients with membranoproliferative glomerulonephritis is usually normal except there are signs of fluid overload if the disease progress to end-stage renal failure. Patients with membranoproliferative glomerulonephritis usually appear lethargicAfebrile High blood pressure with normal pulse pressureSkin examination of patients with membranoproliferative glomerulonephritis is usually normalHEENT examination of patients with membranoproliferative glomerulonephritis is usually normal Swelling of periorbital sometimes resulting in swollen-shut eyelidsNeck examination of patients with membranoproliferative glomerulonephritis is usually normal Jugular venous distension is seen in fluid overloadPulmonary examination of patients with membranoproliferative glomerulonephritis is usually normal, however, if there is fluid overload, following signs are seen: Lungs are hyporesonant Finecoarse crackles upon auscultation of the lung bases bilaterallyCardiovascular examination of patients with membranoproliferative glomerulonephritis is usually normalAbdominal distentionBack examination of patients with membranoproliferative glomerulonephritis is usually normalSigns of fluid overload can be seen which includes: Scrotal edema Vulvar edemaNeuromuscular examination of patients with membranoproliferative glomerulonephritis is usually normalPittingnon-pitting edema of the upper and lower extremitiesdue to fluid overload 