Steatorrhea physical examination: Difference between revisions
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{{Steatorrhea}} | {{Steatorrhea}} | ||
{{CMG}}; {{AE}}{{Vbe}} | {{CMG}}; {{AE}}{{Vbe}} | ||
==Overview== | ==Overview== | ||
Patients with | Patients with steatorrhea usually appear emaciated secondary to loss of subcutaneous fat. Physical examination of patients with steatorrhea is usually remarkable for [[Distended abdomen|distended abdomen,]] [[Orthostatic hypotension|orthostatic hypo-tension]] and [[ecchymoses]], [[Chvostek's sign|Chvostek sign]] and [[Trousseau sign]] secondary to [[hypocalcemia]]. | ||
==Physical Examination== | ==Physical Examination== | ||
===General appearance=== | ===General appearance=== | ||
* Patient may tired with signs of [[weight loss]]<ref name="BorbélyOsterwalder2017">{{cite journal|last1=Borbély|first1=Yves M|last2=Osterwalder|first2=Alice|last3=Kröll|first3=Dino|last4=Nett|first4=Philipp C|last5=Inglin|first5=Roman A|title=Diarrhea after bariatric procedures: Diagnosis and therapy|journal=World Journal of Gastroenterology|volume=23|issue=26|year=2017|pages=4689|issn=1007-9327|doi=10.3748/wjg.v23.i26.4689}}</ref><ref name="CrawfordRamani2017">{{cite journal|last1=Crawford|first1=Sue E.|last2=Ramani|first2=Sasirekha|last3=Tate|first3=Jacqueline E.|last4=Parashar|first4=Umesh D.|last5=Svensson|first5=Lennart|last6=Hagbom|first6=Marie|last7=Franco|first7=Manuel A.|last8=Greenberg|first8=Harry B.|last9=O'Ryan|first9=Miguel|last10=Kang|first10=Gagandeep|last11=Desselberger|first11=Ulrich|last12=Estes|first12=Mary K.|title=Rotavirus infection|journal=Nature Reviews Disease Primers|volume=3|year=2017|pages=17083|issn=2056-676X|doi=10.1038/nrdp.2017.83}}</ref><ref name="pmid11068510">{{cite journal |vauthors=Kist M |title=[Chronic diarrhea: value of microbiology in diagnosis] |language=German |journal=Praxis (Bern 1994) |volume=89 |issue=39 |pages=1559–65 |year=2000 |pmid=11068510 |doi= |url=}}</ref><ref name="pmid4014291">{{cite journal |vauthors=Guerrant RL, Shields DS, Thorson SM, Schorling JB, Gröschel DH |title=Evaluation and diagnosis of acute infectious diarrhea |journal=Am. J. Med. |volume=78 |issue=6B |pages=91–8 |year=1985 |pmid=4014291 |doi= |url=}}</ref> | |||
===Vital signs=== | ===Vital signs=== | ||
Orthostatic hypotension | * [[Orthostatic hypotension]] | ||
===Abdomen=== | ===Abdomen=== | ||
Distended, hyperactive bowel sounds | * Distended, hyperactive bowel sounds | ||
===Skin=== | ===Skin=== | ||
* Dermatitis herpetiformis | *[[Dermatitis herpetiformis]] | ||
*Erythema nodosum | *[[Erythema nodosum]] | ||
*Pyoderma gangrenosum | *[[Pyoderma gangrenosum]] | ||
*Ecchymoses secondary to hypocalcemia (or) hypomagnesemia | *[[Ecchymoses]] secondary to hypocalcemia (or) hypomagnesemia | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
Trousseau sign | * [[Trousseau sign]] | ||
* [[Chvostek's sign]] secondary to [[hypocalcemia]] (or) [[hypomagnesemia]] | |||
==References== | ==References== | ||
Latest revision as of 18:20, 20 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Patients with steatorrhea usually appear emaciated secondary to loss of subcutaneous fat. Physical examination of patients with steatorrhea is usually remarkable for distended abdomen, orthostatic hypo-tension and ecchymoses, Chvostek sign and Trousseau sign secondary to hypocalcemia.
Physical Examination
General appearance
- Patient may tired with signs of weight loss[1][2][3][4]
Vital signs
Abdomen
- Distended, hyperactive bowel sounds
Skin
- Dermatitis herpetiformis
- Erythema nodosum
- Pyoderma gangrenosum
- Ecchymoses secondary to hypocalcemia (or) hypomagnesemia
Neuromuscular
- Trousseau sign
- Chvostek's sign secondary to hypocalcemia (or) hypomagnesemia
References
- ↑ Borbély, Yves M; Osterwalder, Alice; Kröll, Dino; Nett, Philipp C; Inglin, Roman A (2017). "Diarrhea after bariatric procedures: Diagnosis and therapy". World Journal of Gastroenterology. 23 (26): 4689. doi:10.3748/wjg.v23.i26.4689. ISSN 1007-9327.
- ↑ Crawford, Sue E.; Ramani, Sasirekha; Tate, Jacqueline E.; Parashar, Umesh D.; Svensson, Lennart; Hagbom, Marie; Franco, Manuel A.; Greenberg, Harry B.; O'Ryan, Miguel; Kang, Gagandeep; Desselberger, Ulrich; Estes, Mary K. (2017). "Rotavirus infection". Nature Reviews Disease Primers. 3: 17083. doi:10.1038/nrdp.2017.83. ISSN 2056-676X.
- ↑ Kist M (2000). "[Chronic diarrhea: value of microbiology in diagnosis]". Praxis (Bern 1994) (in German). 89 (39): 1559–65. PMID 11068510.
- ↑ Guerrant RL, Shields DS, Thorson SM, Schorling JB, Gröschel DH (1985). "Evaluation and diagnosis of acute infectious diarrhea". Am. J. Med. 78 (6B): 91–8. PMID 4014291.