Tropical sprue physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Tropical sprue}} | {{Tropical sprue}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{AKI}} | ||
==Overview== | ==Overview== | ||
The physical examination findings in acute phase can be significant for [[dehydration]]. In the chronic phase, features of sub acute combined degeneration and [[Visual field defect|visual field defects]] are present. | |||
==Physical Examination== | ==Physical Examination== | ||
=== | Physical examination findings in [[tropical sprue]] include: | ||
=== | |||
=== | ===General Examination=== | ||
Signs of [[dehydration]] may be present on examination in patients in the acute phase, which include:<ref name="pmid7117904">{{cite journal| author=Ramakrishna BS, Mathan VI| title=Water and electrolyte absorption by the colon in tropical sprue. | journal=Gut | year= 1982 | volume= 23 | issue= 10 | pages= 843-6 | pmid=7117904 | doi= | pmc=1419837 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7117904 }} </ref><ref name="BrownBettington2014">{{cite journal|last1=Brown|first1=Ian S.|last2=Bettington|first2=Andrew|last3=Bettington|first3=Mark|last4=Rosty|first4=Christophe|title=Tropical Sprue|journal=The American Journal of Surgical Pathology|volume=38|issue=5|year=2014|pages=666–672|issn=0147-5185|doi=10.1097/PAS.0000000000000153}}</ref><ref name="pmid24441659">{{cite journal| author=Brown IS, Bettington A, Bettington M, Rosty C| title=Tropical sprue: revisiting an underrecognized disease. | journal=Am J Surg Pathol | year= 2014 | volume= 38 | issue= 5 | pages= 666-72 | pmid=24441659 | doi=10.1097/PAS.0000000000000153 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24441659 }} </ref> | |||
* Dry [[tongue]] | |||
* Low [[blood pressure]] | |||
* Reduced or no [[urine output]] | |||
* Reduced skin turgor | |||
===HEENT=== | ===HEENT=== | ||
*[[Pallor]] | |||
*Angular [[stomatitis]] | |||
*[[Glossitis]] | |||
*[[Mouth ulcers]] | |||
===Extremities=== | |||
*Peripheral [[edema]] | |||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal | *Abdominal examination is normal with no tenderness and [[organomegaly]] | ||
===CNS=== | |||
In cases with severe [[vitamin B12 deficiency]] features of sub-acute degeneration of [[spinal cord]] can be demonstrated. | |||
*[[Paresthesia]]s, lower extremities weakness, [[spasticity]], [[ataxic gait]] | |||
=== | *Loss of [[vibration]] and position sense | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WS}} | {{WS}} | ||
{{WH}} | {{WH}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Gastroenterology]] | |||
Latest revision as of 00:30, 30 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
The physical examination findings in acute phase can be significant for dehydration. In the chronic phase, features of sub acute combined degeneration and visual field defects are present.
Physical Examination
Physical examination findings in tropical sprue include:
General Examination
Signs of dehydration may be present on examination in patients in the acute phase, which include:[1][2][3]
- Dry tongue
- Low blood pressure
- Reduced or no urine output
- Reduced skin turgor
HEENT
- Pallor
- Angular stomatitis
- Glossitis
- Mouth ulcers
Extremities
- Peripheral edema
Abdomen
- Abdominal examination is normal with no tenderness and organomegaly
CNS
In cases with severe vitamin B12 deficiency features of sub-acute degeneration of spinal cord can be demonstrated.
- Paresthesias, lower extremities weakness, spasticity, ataxic gait
- Loss of vibration and position sense
References
- ↑ Ramakrishna BS, Mathan VI (1982). "Water and electrolyte absorption by the colon in tropical sprue". Gut. 23 (10): 843–6. PMC 1419837. PMID 7117904.
- ↑ Brown, Ian S.; Bettington, Andrew; Bettington, Mark; Rosty, Christophe (2014). "Tropical Sprue". The American Journal of Surgical Pathology. 38 (5): 666–672. doi:10.1097/PAS.0000000000000153. ISSN 0147-5185.
- ↑ Brown IS, Bettington A, Bettington M, Rosty C (2014). "Tropical sprue: revisiting an underrecognized disease". Am J Surg Pathol. 38 (5): 666–72. doi:10.1097/PAS.0000000000000153. PMID 24441659.