Short bowel syndrome physical examination: Difference between revisions
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{{Short bowel syndrome}} | {{Short bowel syndrome}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{SSH}} | ||
==Overview== | ==Overview== | ||
Patients with | Patients with short bowel syndrome usually appear weak and tired. [[Physical examination]] of patients with short bowel syndrome is usually remarkable for signs of [[malabsorption]], [[dehydration]] and [[Tenderness (medicine)|abdominal tenderness]]. | ||
==Physical Examination== | ==Physical Examination== | ||
[[Physical examination]] of patients with short bowel syndrome is usually remarkable for [[weakness]], [[dehydration]] and [[abdominal tenderness]] and [[Abdominal distention|distention]].<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref><ref name="Wall2013">{{cite journal|last1=Wall|first1=Elizabeth A.|title=An Overview of Short Bowel Syndrome Management: Adherence, Adaptation, and Practical Recommendations|journal=Journal of the Academy of Nutrition and Dietetics|volume=113|issue=9|year=2013|pages=1200–1208|issn=22122672|doi=10.1016/j.jand.2013.05.001}}</ref><ref name="EçaBarbosa2016">{{cite journal|last1=Eça|first1=Rosário|last2=Barbosa|first2=Elisabete|title=Short bowel syndrome: treatment options|journal=Journal of Coloproctology|volume=36|issue=4|year=2016|pages=262–272|issn=22379363|doi=10.1016/j.jcol.2016.07.002}}</ref><ref name="pmid17198059">{{cite journal |vauthors=Misiakos EP, Macheras A, Kapetanakis T, Liakakos T |title=Short bowel syndrome: current medical and surgical trends |journal=J. Clin. Gastroenterol. |volume=41 |issue=1 |pages=5–18 |year=2007 |pmid=17198059 |doi=10.1097/01.mcg.0000212617.74337.e9 |url=}}</ref><ref name="pmid16207689">{{cite journal |vauthors=Matarese LE, O'Keefe SJ, Kandil HM, Bond G, Costa G, Abu-Elmagd K |title=Short bowel syndrome: clinical guidelines for nutrition management |journal=Nutr Clin Pract |volume=20 |issue=5 |pages=493–502 |year=2005 |pmid=16207689 |doi=10.1177/0115426505020005493 |url=}}</ref><ref name="pmid15233682">{{cite journal |vauthors=DiBaise JK, Young RJ, Vanderhoof JA |title=Intestinal rehabilitation and the short bowel syndrome: part 1 |journal=Am. J. Gastroenterol. |volume=99 |issue=7 |pages=1386–95 |year=2004 |pmid=15233682 |doi=10.1111/j.1572-0241.2004.30345.x |url=}}</ref><ref name="pmid24247092">{{cite journal |vauthors=Kelly DG, Tappenden KA, Winkler MF |title=Short bowel syndrome: highlights of patient management, quality of life, and survival |journal=JPEN J Parenter Enteral Nutr |volume=38 |issue=4 |pages=427–37 |year=2014 |pmid=24247092 |doi=10.1177/0148607113512678 |url=}}</ref> | |||
===Appearance of the patient=== | |||
===Appearance of the | |||
*Patients with short bowel syndrome usually appear weak and tired. | *Patients with short bowel syndrome usually appear weak and tired. | ||
===Vital | ===Vital signs=== | ||
* | *Low-grade [[fever]] | ||
*[[Hypothermia]] may be present | *[[Hypothermia]] may be present | ||
*[[Tachycardia]] with regular pulse | *[[Tachycardia]] with regular pulse | ||
| Line 37: | Line 22: | ||
* [[Pallor]] | * [[Pallor]] | ||
* [[Xeroderma|Dry skin]] | * [[Xeroderma|Dry skin]] | ||
===HEENT=== | |||
* [[Temporal]] wasting | |||
* [[Corneal erosion]] | |||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*Hyperactive [[bowel sound]] | |||
*[[Abdominal tenderness]] | *[[Abdominal tenderness]] | ||
*[[Rebound tenderness]] (positive Blumberg sign) | *[[Rebound tenderness]] (positive [[Blumberg sign]]) | ||
*Guarding may be present | *[[Abdominal guarding|Guarding]] may be present | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to | *Patient is usually oriented to person, place, and time | ||
* | * [[Confusion]] | ||
* | * [[Hyporeflexia]] | ||
* [[Peripheral neuropathy]] | |||
*Bilateral extremity [[Muscle weakness|weakness]] | |||
===Extremities=== | ===Extremities=== | ||
* | *[[Peripheral edema]] | ||
*[[Muscle atrophy]] | *[[Muscle atrophy|Muscular atrophy]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 00:10, 30 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Patients with short bowel syndrome usually appear weak and tired. Physical examination of patients with short bowel syndrome is usually remarkable for signs of malabsorption, dehydration and abdominal tenderness.
Physical Examination
Physical examination of patients with short bowel syndrome is usually remarkable for weakness, dehydration and abdominal tenderness and distention.[1][2][3][4][5][6][7]
Appearance of the patient
- Patients with short bowel syndrome usually appear weak and tired.
Vital signs
- Low-grade fever
- Hypothermia may be present
- Tachycardia with regular pulse
- Weak pulse
- Low blood pressure with normal pulse pressure
Skin
HEENT
- Temporal wasting
- Corneal erosion
Abdomen
- Abdominal distention
- Hyperactive bowel sound
- Abdominal tenderness
- Rebound tenderness (positive Blumberg sign)
- Guarding may be present
Neuromuscular
- Patient is usually oriented to person, place, and time
- Confusion
- Hyporeflexia
- Peripheral neuropathy
- Bilateral extremity weakness
Extremities
References
- ↑ Rodrigues, Gabriel; Seetharam, Prasad (2011). "Short bowel syndrome: A review of management options". Saudi Journal of Gastroenterology. 17 (4): 229. doi:10.4103/1319-3767.82573. ISSN 1319-3767.
- ↑ Wall, Elizabeth A. (2013). "An Overview of Short Bowel Syndrome Management: Adherence, Adaptation, and Practical Recommendations". Journal of the Academy of Nutrition and Dietetics. 113 (9): 1200–1208. doi:10.1016/j.jand.2013.05.001. ISSN 2212-2672.
- ↑ Eça, Rosário; Barbosa, Elisabete (2016). "Short bowel syndrome: treatment options". Journal of Coloproctology. 36 (4): 262–272. doi:10.1016/j.jcol.2016.07.002. ISSN 2237-9363.
- ↑ Misiakos EP, Macheras A, Kapetanakis T, Liakakos T (2007). "Short bowel syndrome: current medical and surgical trends". J. Clin. Gastroenterol. 41 (1): 5–18. doi:10.1097/01.mcg.0000212617.74337.e9. PMID 17198059.
- ↑ Matarese LE, O'Keefe SJ, Kandil HM, Bond G, Costa G, Abu-Elmagd K (2005). "Short bowel syndrome: clinical guidelines for nutrition management". Nutr Clin Pract. 20 (5): 493–502. doi:10.1177/0115426505020005493. PMID 16207689.
- ↑ DiBaise JK, Young RJ, Vanderhoof JA (2004). "Intestinal rehabilitation and the short bowel syndrome: part 1". Am. J. Gastroenterol. 99 (7): 1386–95. doi:10.1111/j.1572-0241.2004.30345.x. PMID 15233682.
- ↑ Kelly DG, Tappenden KA, Winkler MF (2014). "Short bowel syndrome: highlights of patient management, quality of life, and survival". JPEN J Parenter Enteral Nutr. 38 (4): 427–37. doi:10.1177/0148607113512678. PMID 24247092.