Ischemic colitis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Ischemic colitis}} | {{Ischemic colitis}} | ||
{{CMG}}; {{AE}} {{HQ}} | |||
{{CMG}}; {{AE}} {{HQ}} | |||
==Overview== | ==Overview== | ||
Ischemic colitis is characterized by [[abdominal pain]] which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness. | Ischemic colitis is characterized by [[abdominal pain]] which is out of proportion to physical findings, specifically excruciating [[abdominal pain]] despite limited focal [[tenderness]], heme-positive rectal exam, and rebound tenderness if peritonitis is present. | ||
==Physical Examination== | ==Physical Examination== | ||
*The physical examination findings of ischemic colitis are as | *The physical examination findings of ischemic colitis are as follows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | ||
* | |||
**[[ | *Physical examination of patients with ischemic colitis is usually remarkable for abdominal tenderness, heme-positive rectal exam, and rebound tenderness if peritonitis is present. | ||
**[[Abdominal tenderness]] | |||
* | ===Appearance of the Patient=== | ||
* | *Patients with ischemic colitis usually appear in apparent distress due to pain | ||
* | |||
===Vital Signs=== | |||
*[[Tachycardia]] with regular pulse | |||
*Tachypnea | |||
===Skin=== | |||
* Skin examination of patients with ischemic colitis is usually normal | |||
===HEENT=== | |||
* HEENT examination of patients with ischemic colitis is usually normal | |||
===Neck=== | |||
* Neck examination of patients with ischemic colitis is usually normal | |||
===Lungs=== | |||
* Pulmonary examination of patients with ischemic colitis is usually normal | |||
===Heart=== | |||
* Cardiovascular examination of patients with ischemic colitis is usually normal | |||
===Abdomen=== | |||
*[[Abdominal distention]] | |||
*[[Abdominal tenderness]] over the affected area of bowel | |||
*[[Rebound tenderness]] present if there is peritonitis | |||
*Increased [[Intestine|bowel]] sounds | |||
===Back=== | |||
* Back examination of patients with ischemic colitis is usually normal | |||
===Genitourinary=== | |||
* Genitourinary examination of patients with ischemic colitis is usually normal | |||
===Neuromuscular=== | |||
* Neuromuscular examination of patients with ischemic colitis is usually normal | |||
===Extremities=== | |||
* Extermities examination of patients with ischemic colitis is usually normal | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | {{WH}} | ||
{{WS}} | |||
[[Category:Gastroenterology]] | |||
[[Category:Medicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Up-To-Date]] | |||
Latest revision as of 14:34, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Ischemic colitis is characterized by abdominal pain which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness, heme-positive rectal exam, and rebound tenderness if peritonitis is present.
Physical Examination
- Physical examination of patients with ischemic colitis is usually remarkable for abdominal tenderness, heme-positive rectal exam, and rebound tenderness if peritonitis is present.
Appearance of the Patient
- Patients with ischemic colitis usually appear in apparent distress due to pain
Vital Signs
- Tachycardia with regular pulse
- Tachypnea
Skin
- Skin examination of patients with ischemic colitis is usually normal
HEENT
- HEENT examination of patients with ischemic colitis is usually normal
Neck
- Neck examination of patients with ischemic colitis is usually normal
Lungs
- Pulmonary examination of patients with ischemic colitis is usually normal
Heart
- Cardiovascular examination of patients with ischemic colitis is usually normal
Abdomen
- Abdominal distention
- Abdominal tenderness over the affected area of bowel
- Rebound tenderness present if there is peritonitis
- Increased bowel sounds
Back
- Back examination of patients with ischemic colitis is usually normal
Genitourinary
- Genitourinary examination of patients with ischemic colitis is usually normal
Neuromuscular
- Neuromuscular examination of patients with ischemic colitis is usually normal
Extremities
- Extermities examination of patients with ischemic colitis is usually normal
References
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.
- ↑ Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F (2006). "Ischemic colitis". Am. J. Surg. 192 (5): 679–84. doi:10.1016/j.amjsurg.2005.09.018. PMID 17071206.