Esophageal stricture physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with esophageal | Patients with esophageal stricture can usually appear normal. [[Cachexia]] and [[pallor]] are notable in patients with esophageal stricture due to [[malignant]] causes. | ||
==Physical Examination== | ==Physical Examination== | ||
Esophageal stricture has many causes. Physical examination due to different causes include: | Esophageal stricture has many causes. Physical examination due to different causes include: | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with esophageal stricture due to malignant causes usually appear cachectic and pale | *Patients with esophageal stricture due to [[malignant]] causes usually appear cachectic and pale | ||
===Vital Signs=== | ===Vital Signs=== | ||
* [[Hypertension]] spicking specially in patients already with hypertension in [[gastroesophageal reflux disease]]<ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume= | issue= | pages= | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574 }}</ref> | * [[Hypertension]] spicking specially in patients already with [[hypertension]] in [[gastroesophageal reflux disease]]<ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume= | issue= | pages= | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574 }}</ref> | ||
===Skin=== | ===Skin=== | ||
* Bullous skin | * [[Bullous]] skin [[eruption]]<nowiki/>s in [[epidermolysis bullosa dystrophica]] as a cause of esophageal stricture <ref name="pmid12853664">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref> | ||
* [[Pallor]] in [[malignant]] causes | |||
* [[Pallor]] in malignant causes | |||
===HEENT=== | ===HEENT=== | ||
Esophageal stricture due to gastroesophageal reflux disease: | Esophageal stricture due to [[gastroesophageal reflux disease]]: | ||
* Hoarse voice | * Hoarse voice | ||
* | * [[laryngeal edema]] and [[erythema]]<ref name="pmid186251382">{{cite journal |vauthors=Vaezi MF |title=Laryngeal manifestations of gastroesophageal reflux disease |journal=Curr Gastroenterol Rep |volume=10 |issue=3 |pages=271–7 |year=2008 |pmid=18625138 |doi= |url=}}</ref> | ||
* Dental erosions | * [[Dental]] erosions | ||
===Neck=== | ===Neck=== | ||
* Left supraclavicular lymphadenopathy (Virchow node) | * Left [[supraclavicular]] [[lymphadenopathy]] (Virchow node) due to [[malignant]] causes of esophageal stricture<ref name="pmid16200126">{{cite journal |vauthors=McLoughlin JM |title=Adenocarcinoma of the stomach: a review |journal=Proc (Bayl Univ Med Cent) |volume=17 |issue=4 |pages=391–9 |year=2004 |pmid=16200126 |pmc=1200678 |doi= |url=}}</ref> | ||
===Lung=== | ===Lung=== | ||
| Line 43: | Line 32: | ||
===Abdomen=== | ===Abdomen=== | ||
* Epigastric tenderness due to gastroesophageal reflux | * [[Epigastric]] [[tenderness]] due to [[Gastroesophageal reflux disease|gastroesophageal reflux]] | ||
*[[Hepatomegaly]] in metastatic esophageal cancer | *[[Hepatomegaly]] in [[metastatic]] [[esophageal cancer]] | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Medicine]] | [[Category:Medicine]] | ||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
Latest revision as of 21:41, 29 July 2020
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Esophageal stricture Microchapters |
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Diagnosis |
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Treatment |
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Surgery |
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Case Studies |
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Esophageal stricture physical examination On the Web |
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American Roentgen Ray Society Images of Esophageal stricture physical examination |
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Risk calculators and risk factors for Esophageal stricture physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]
Overview
Patients with esophageal stricture can usually appear normal. Cachexia and pallor are notable in patients with esophageal stricture due to malignant causes.
Physical Examination
Esophageal stricture has many causes. Physical examination due to different causes include:
Appearance of the Patient
- Patients with esophageal stricture due to malignant causes usually appear cachectic and pale
Vital Signs
- Hypertension spicking specially in patients already with hypertension in gastroesophageal reflux disease[1]
Skin
- Bullous skin eruptions in epidermolysis bullosa dystrophica as a cause of esophageal stricture [2]
- Pallor in malignant causes
HEENT
Esophageal stricture due to gastroesophageal reflux disease:
- Hoarse voice
- laryngeal edema and erythema[3]
- Dental erosions
Neck
- Left supraclavicular lymphadenopathy (Virchow node) due to malignant causes of esophageal stricture[4]
Lung
- Wheezing may be present
Abdomen
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.
- ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
- ↑ Vaezi MF (2008). "Laryngeal manifestations of gastroesophageal reflux disease". Curr Gastroenterol Rep. 10 (3): 271–7. PMID 18625138.
- ↑ McLoughlin JM (2004). "Adenocarcinoma of the stomach: a review". Proc (Bayl Univ Med Cent). 17 (4): 391–9. PMC 1200678. PMID 16200126.