Hiatus hernia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis. In some cases, hiatus hernia may develop gastroesophageal reflux disease (GERD). Patients with GERD usually appear ill due to the pain. Common physical examination include hoarseness of voice, laryngitis, otitis media, and lung wheezes.

Physical Examination

Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis.
In some cases, hiatus hernia may develop to gastroesophageal reflux disease (GERD) at which the physical examination is usually associated with the following:

Appearance of the patient

Patients with GERD usually appear ill and uncomfortable due to the retrosternal pain.

Vital signs

Hypertension spicking specially in patients already with pre-existing hypertension.^[1]

Skin[edit | edit source]

Skin examination of patients with hiatus hernia is usually normal.

HEENT

Neck[edit | edit source]

Neck examination of patients with hiatus hernia is usually normal.

Lungs

Wheezes
Bronchitis ^[2]

Heart

Cardiovascular examination of patients with f is usually normal.

Abdomen

Epigastric tenderness

Neuromuscular

Neuromuscular examination of patients with hiatus hernia is usually normal.

References

↑ Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.
↑ Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.

[pmid28961574-1] Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.

[pmid23452632-2] Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.

[1]

[2]