Dyspepsia physical examination: Difference between revisions
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{{Dyspepsia}} | {{Dyspepsia}} | ||
{{CMG}} {{AE}} {{Ajay}} | {{CMG}} {{AE}} {{Ajay}} | ||
==Overview== | ==Overview== | ||
Patients with dyspepsia may appear pale. Some patients may appear [[Fatigue|fatigued]] and in distress | Patients with dyspepsia may appear [[Pallor|pale]]. Some patients may appear [[Fatigue|fatigued]] and in distress due to associated [[abdominal pain]]. [[Vital signs]] generally appear to be normal. When associated with [[gastrointestinal bleeding]], [[vital signs]] include [[Tachycardia|tachycardia]]. [[Pallor]] may observed in patients presenting with [[melena]] and [[hematemesis]]. On examination of the [[eyes]], [[conjunctival]] [[pallor]] may be observed. [[Halitosis]] may be observed in case of chronic [[gastritis]]. Chest [[tenderness]] may be present on palpation in case of ''[[Helicobacter pylori]]'' infection associated [[gastritis]]. [[Epigastric]] [[tenderness]] may be present. [[Gastritis]] associated with [[Gastric ulcer|gastric ulcers]] may result in [[blood loss]] and the [[stool test]] may be [[Guaiacolsulfonate|guaiac]]-positive. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with dyspepsia may | [[Physical examination]] of patients with dyspepsia may show the following [[Symptoms and Signs|signs and symptoms]]:<ref>CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=10313974</ref><ref>{{cite journal |vauthors=Bertleff MJ, Lange JF |title=Perforated peptic ulcer disease: a review of history and treatment |journal=Dig Surg |volume=27 |issue=3 |pages=161–9 |year=2010 |pmid=20571260 |doi=10.1159/000264653 |url=}}</ref><ref>{{cite journal |vauthors=Bertleff MJ, Lange JF |title=Perforated peptic ulcer disease: a review of history and treatment |journal=Dig Surg |volume=27 |issue=3 |pages=161–9 |year=2010 |pmid=20571260 |doi=10.1159/000264653 |url=}} </ref><ref>{{cite journal |vauthors=Chung KT, Shelat VG |title=Perforated peptic ulcer - an update |journal=World J Gastrointest Surg |volume=9 |issue=1 |pages=1–12 |year=2017 |pmid=28138363 |pmc=5237817 |doi=10.4240/wjgs.v9.i1.1 |url=}}</ref><ref>{{cite journal |vauthors=Chung KT, Shelat VG |title=Perforated peptic ulcer - an update |journal=World J Gastrointest Surg |volume=9 |issue=1 |pages=1–12 |year=2017 |pmid=28138363 |pmc=5237817 |doi=10.4240/wjgs.v9.i1.1 |url=}}</ref> | ||
===Appearance of the | ===Appearance of the patient=== | ||
*Patients with dyspepsia may appear pale. Some patients may appear [[Fatigue|fatigued]] and in distress | *Patients with dyspepsia may appear [[Pallor|pale]]. Some patients may appear [[Fatigue|fatigued]] and in distress due to associated [[abdominal pain]]. | ||
===Vital | ===Vital signs=== | ||
*Vital signs are usually normal | *[[Vital signs]] are usually normal | ||
*When associated with [[gastrointestinal bleed]], | *When associated with [[gastrointestinal bleed]], [[tachycardia]] may be observed | ||
===Skin=== | ===Skin=== | ||
*[[Pallor]] may observed in patients presenting with [[melena]] and [[hematemesis]] | *[[Pallor]] may observed in patients presenting with [[melena]] and [[hematemesis]] | ||
===HEENT=== | ===HEENT=== | ||
*On examination of the [[eyes]], [[conjunctival]] [[pallor]] may be observed | *On examination of the [[eyes]], [[conjunctival]] [[pallor]] may be observed | ||
===Lungs=== | ===Lungs=== | ||
*[[Breath sounds|Normal vesicular breath sounds]] are observed | *[[Breath sounds|Normal vesicular breath sounds]] are observed | ||
*[[Halitosis]] may be observed in case of chronic gastritis | *[[Halitosis]] may be observed in case of chronic [[gastritis]] | ||
===Heart=== | ===Heart=== | ||
*Chest tenderness may be present on palpation in case of ''[[Helicobacter pylori]]'' infection associated dyspepsia | *Chest [[tenderness]] may be present on [[palpation]] in case of ''[[Helicobacter pylori]]'' infection associated dyspepsia | ||
*S1 and S2 are normal | *[[Heart sounds|S1]] and [[Heart sounds|S2]] are normal | ||
===Abdomen=== | ===Abdomen=== | ||
*Epigastric [[tenderness]] may be present | *[[Epigastric]] [[tenderness]] may be present | ||
*Dyspepsia associated with [[Gastric ulcer|gastric ulcers]] may result in [[blood loss]] and the [[stool test]] may be | *Dyspepsia associated with [[Gastric ulcer|gastric ulcers]] may result in [[blood loss]] and the [[stool test]] may be [[Guaiacolsulfonate|guaiac]]-positive | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Gastroenterology]] | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 21:30, 29 July 2020
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Dyspepsia physical examination On the Web |
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Risk calculators and risk factors for Dyspepsia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ajay Gade MD[2]]
Overview
Patients with dyspepsia may appear pale. Some patients may appear fatigued and in distress due to associated abdominal pain. Vital signs generally appear to be normal. When associated with gastrointestinal bleeding, vital signs include tachycardia. Pallor may observed in patients presenting with melena and hematemesis. On examination of the eyes, conjunctival pallor may be observed. Halitosis may be observed in case of chronic gastritis. Chest tenderness may be present on palpation in case of Helicobacter pylori infection associated gastritis. Epigastric tenderness may be present. Gastritis associated with gastric ulcers may result in blood loss and the stool test may be guaiac-positive.
Physical Examination
Physical examination of patients with dyspepsia may show the following signs and symptoms:[1][2][3][4][5]
Appearance of the patient
- Patients with dyspepsia may appear pale. Some patients may appear fatigued and in distress due to associated abdominal pain.
Vital signs
- Vital signs are usually normal
- When associated with gastrointestinal bleed, tachycardia may be observed
Skin
- Pallor may observed in patients presenting with melena and hematemesis
HEENT
- On examination of the eyes, conjunctival pallor may be observed
Lungs
- Normal vesicular breath sounds are observed
- Halitosis may be observed in case of chronic gastritis
Heart
- Chest tenderness may be present on palpation in case of Helicobacter pylori infection associated dyspepsia
- S1 and S2 are normal
Abdomen
- Epigastric tenderness may be present
- Dyspepsia associated with gastric ulcers may result in blood loss and the stool test may be guaiac-positive
References
- ↑ CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=10313974
- ↑ Bertleff MJ, Lange JF (2010). "Perforated peptic ulcer disease: a review of history and treatment". Dig Surg. 27 (3): 161–9. doi:10.1159/000264653. PMID 20571260.
- ↑ Bertleff MJ, Lange JF (2010). "Perforated peptic ulcer disease: a review of history and treatment". Dig Surg. 27 (3): 161–9. doi:10.1159/000264653. PMID 20571260.
- ↑ Chung KT, Shelat VG (2017). "Perforated peptic ulcer - an update". World J Gastrointest Surg. 9 (1): 1–12. doi:10.4240/wjgs.v9.i1.1. PMC 5237817. PMID 28138363.
- ↑ Chung KT, Shelat VG (2017). "Perforated peptic ulcer - an update". World J Gastrointest Surg. 9 (1): 1–12. doi:10.4240/wjgs.v9.i1.1. PMC 5237817. PMID 28138363.