Plummer-Vinson syndrome physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Plummer-Vinson syndrome}} | {{Plummer-Vinson syndrome}} | ||
{{CMG}}; {{AE}}{{Akshun}} | {{CMG}} {{shyam}}; {{AE}}{{Akshun}} | ||
==Overview== | ==Overview== | ||
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other | Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for [[glossitis]], [[esophageal webs]] or [[Esophageal stricture|strictures]], and [[dysphagia]]. Other findings on physical examination include [[pallor]], [[stomatitis]], [[atrophy]] of [[Lingual|lingual papillae,]] [[splenomegaly]] (33%), [[achlorhydria]] and [[koilonychia]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other | Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for [[glossitis]], [[esophageal webs]] or [[Esophageal stricture|strictures]], and [[dysphagia]]. Other findings on physical examination include:<ref name="pmid7575056">{{cite journal |vauthors=Hoffman RM, Jaffe PE |title=Plummer-Vinson syndrome. A case report and literature review |journal=Arch. Intern. Med. |volume=155 |issue=18 |pages=2008–11 |year=1995 |pmid=7575056 |doi= |url=}}</ref><ref name="pmid10505167">{{cite journal |vauthors=Mansell NJ, Jani P, Bailey CM |title=Plummer-Vinson syndrome--a rare presentation in a child |journal=J Laryngol Otol |volume=113 |issue=5 |pages=475–6 |year=1999 |pmid=10505167 |doi= |url=}}</ref><ref name="pmid10549778">{{cite journal |vauthors=Anthony R, Sood S, Strachan DR, Fenwick JD |title=A case of Plummer-Vinson syndrome in childhood |journal=J. Pediatr. Surg. |volume=34 |issue=10 |pages=1570–2 |year=1999 |pmid=10549778 |doi= |url=}}</ref><ref name="pmid11753173">{{cite journal |vauthors=López Rodríguez MJ, Robledo Andrés P, Amarilla Jiménez A, Roncero Maíllo M, López Lafuente A, Arroyo Carrera I |title=Sideropenic dysphagia in an adolescent |journal=J. Pediatr. Gastroenterol. Nutr. |volume=34 |issue=1 |pages=87–90 |year=2002 |pmid=11753173 |doi= |url=}}</ref><ref name="pmid4449772">{{cite journal |vauthors=Chisholm M |title=The association between webs, iron and post-cricoid carcinoma |journal=Postgrad Med J |volume=50 |issue=582 |pages=215–9 |year=1974 |pmid=4449772 |pmc=2495558 |doi= |url=}}</ref><ref name="pmid1192404">{{cite journal |vauthors=Larsson LG, Sandström A, Westling P |title=Relationship of Plummer-Vinson disease to cancer of the upper alimentary tract in Sweden |journal=Cancer Res. |volume=35 |issue=11 Pt. 2 |pages=3308–16 |year=1975 |pmid=1192404 |doi= |url=}}</ref><ref name="pmid22843759">{{cite journal |vauthors=Phatak S, Redkar N, Patil MA, Kuwar A |title=Plummer-Vinson syndrome |journal=BMJ Case Rep |volume=2012 |issue= |pages= |year=2012 |pmid=22843759 |pmc=4543800 |doi=10.1136/bcr-2012-006403 |url=}}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with Plummer-Vinson syndrome usually appear fatigued | *Patients with Plummer-Vinson syndrome usually appear [[Fatigue|fatigued]] | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Hypothermia]] may be present | *[[Hypothermia]] may be present | ||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*Normal to low blood pressure with normal pulse pressure | *Normal to [[low blood pressure]] with normal [[pulse pressure]] | ||
===Skin=== | ===Skin=== | ||
| Line 21: | Line 21: | ||
===HEENT=== | ===HEENT=== | ||
*Stomatitis | *[[Stomatitis]] | ||
*Glossitis | *[[Glossitis]] | ||
*[[Cheilitis]] | *[[Cheilitis]] | ||
*Atrophy of lingual papillae | *Atrophy of [[lingual]] papillae | ||
*Upper esophageal web or strictures on laryngoscopy | *Upper [[esophageal web]] or [[Esophageal stricture|strictures]] on [[laryngoscopy]] | ||
===Neck=== | ===Neck=== | ||
Odynophagia | [[Odynophagia]] | ||
===Heart=== | ===Heart=== | ||
*S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure | *[[S1]]/[[S2]] normal. Additional heart sound such as [[S3]] may be heard in patients with high output [[heart failure]] | ||
===Abdomen=== | ===Abdomen=== | ||
*Splenomegaly (33%) | *[[Splenomegaly]] (33%) | ||
*Achlorhydria | *[[Achlorhydria]] | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to time, place and person | *Patient is usually oriented to time, place and person | ||
===Extremities=== | ===Extremities=== | ||
*Koilonychia | *[[Koilonychia]] | ||
*Brittle nails | *[[Brittle nails]] | ||
==References== | ==References== | ||
Latest revision as of 07:03, 2 February 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Shyam Patel [2]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[3]
Overview
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.
Physical Examination
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include:[1][2][3][4][5][6][7]
Appearance of the Patient
- Patients with Plummer-Vinson syndrome usually appear fatigued
Vital Signs
- Hypothermia may be present
- Tachycardia
- Normal to low blood pressure with normal pulse pressure
Skin
- Pale skin color (Pallor)
- Blue-tinged or very pale whites of eyes
HEENT
- Stomatitis
- Glossitis
- Cheilitis
- Atrophy of lingual papillae
- Upper esophageal web or strictures on laryngoscopy
Neck
Heart
- S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure
Abdomen
- Splenomegaly (33%)
- Achlorhydria
Neuromuscular
- Patient is usually oriented to time, place and person
Extremities
References
- ↑ Hoffman RM, Jaffe PE (1995). "Plummer-Vinson syndrome. A case report and literature review". Arch. Intern. Med. 155 (18): 2008–11. PMID 7575056.
- ↑ Mansell NJ, Jani P, Bailey CM (1999). "Plummer-Vinson syndrome--a rare presentation in a child". J Laryngol Otol. 113 (5): 475–6. PMID 10505167.
- ↑ Anthony R, Sood S, Strachan DR, Fenwick JD (1999). "A case of Plummer-Vinson syndrome in childhood". J. Pediatr. Surg. 34 (10): 1570–2. PMID 10549778.
- ↑ López Rodríguez MJ, Robledo Andrés P, Amarilla Jiménez A, Roncero Maíllo M, López Lafuente A, Arroyo Carrera I (2002). "Sideropenic dysphagia in an adolescent". J. Pediatr. Gastroenterol. Nutr. 34 (1): 87–90. PMID 11753173.
- ↑ Chisholm M (1974). "The association between webs, iron and post-cricoid carcinoma". Postgrad Med J. 50 (582): 215–9. PMC 2495558. PMID 4449772.
- ↑ Larsson LG, Sandström A, Westling P (1975). "Relationship of Plummer-Vinson disease to cancer of the upper alimentary tract in Sweden". Cancer Res. 35 (11 Pt. 2): 3308–16. PMID 1192404.
- ↑ Phatak S, Redkar N, Patil MA, Kuwar A (2012). "Plummer-Vinson syndrome". BMJ Case Rep. 2012. doi:10.1136/bcr-2012-006403. PMC 4543800. PMID 22843759.