Angiodysplasia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Angiodysplasia}} | {{Angiodysplasia}} | ||
{{CMG}} {{AE}} {{ | {{CMG}}; {{AE}} {{NKT}} | ||
==Overview== | ==Overview== | ||
On [[physical examination]], [[signs]] of [[Iron deficiency anemia physical examination|iron deficiency anemia]] can be found in patients with occult bleeding. | On [[physical examination]], [[signs]] of [[Iron deficiency anemia physical examination|iron deficiency anemia]] can be found in patients with occult bleeding. In addition, a [[systolic ejection murmur]] can be heard if angiodysplasia is associated with [[aortic stenosis]]. | ||
==Physical Examination== | ==Physical Examination== | ||
On [[physical examination]], [[ | On [[physical examination]], [[signs]] of [[Iron deficiency anemia physical examination|iron deficiency anemia]]<ref name="pmid26408108">{{cite journal| author=Auerbach M, Adamson JW| title=How we diagnose and treat iron deficiency anemia. | journal=Am J Hematol | year= 2016 | volume= 91 | issue= 1 | pages= 31-8 | pmid=26408108 | doi=10.1002/ajh.24201 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26408108 }}</ref> can be found in patients with occult bleeding like: | ||
=== Appearance of the Patient === | ===Appearance of the Patient=== | ||
* Clinical presentation of a patient with angiodysplasia varies according to blood loss. | *Clinical presentation of a patient with angiodysplasia varies according to blood loss. | ||
* Patients with chronic, occult blood loss may appear | *Patients with chronic, occult blood loss may appear pale, tired, depressed, and lethargic. | ||
=== Skin === | ===Skin=== | ||
* Skin changes like rough or dry skin may be seen. | *Skin changes like rough or dry skin may be seen. | ||
* Nail changes like koilonychia may be present | *Nail changes like koilonychia may be present | ||
* Hair loss (rare) | *Hair loss (rare) | ||
=== HEENT === | ===HEENT=== | ||
* Conjunctival pallor, atrophic glossitis,<ref name="pmid10555095">{{cite journal| author=Osaki T, Ueta E, Arisawa K, Kitamura Y, Matsugi N| title=The pathophysiology of glossal pain in patients with iron deficiency and anemia. | journal=Am J Med Sci | year= 1999 | volume= 318 | issue= 5 | pages= 324-9 | pmid=10555095 | doi=10.1097/00000441-199911000-00007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10555095 }}</ref> cheilosis may be seen | *Conjunctival pallor, atrophic glossitis,<ref name="pmid10555095">{{cite journal| author=Osaki T, Ueta E, Arisawa K, Kitamura Y, Matsugi N| title=The pathophysiology of glossal pain in patients with iron deficiency and anemia. | journal=Am J Med Sci | year= 1999 | volume= 318 | issue= 5 | pages= 324-9 | pmid=10555095 | doi=10.1097/00000441-199911000-00007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10555095 }}</ref> cheilosis may be seen | ||
=== Lungs === | ===Lungs=== | ||
* Pulmonary examination of patients with angiodysplasia is usually normal. | *Pulmonary examination of patients with angiodysplasia is usually normal. | ||
=== Heart === | ===Heart=== | ||
* A [[systolic ejection murmur]] can be heard if angiodysplasia is associated with [[aortic stenosis]]. | *A [[systolic ejection murmur]] can be heard if angiodysplasia is associated with [[aortic stenosis]]. | ||
=== Abdomen/Pelvis === | ===Abdomen/Pelvis=== | ||
* Abdominal examination of patients with angiodysplasia is usually normal. In some cases, however, a lower abdominal/pelvic mass may be the only clue for the diagnosis. | *Abdominal examination of patients with angiodysplasia is usually normal. In some cases, however, a lower abdominal/pelvic mass may be the only clue for the diagnosis. | ||
=== Genitourinary === | ===Genitourinary=== | ||
* Genitourinary examination of patients with angiodysplasia is usually normal. | *Genitourinary examination of patients with angiodysplasia is usually normal. | ||
=== Neuromuscular === | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with angiodysplasia is usually normal. | *Neuromuscular examination of patients with angiodysplasia is usually normal. | ||
* | * | ||
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[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
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{{WS}} | {{WS}} | ||
{{WH}} | {{WH}} | ||
Latest revision as of 19:48, 11 February 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nikita Singh, M.B.B.S.[2]
Overview
On physical examination, signs of iron deficiency anemia can be found in patients with occult bleeding. In addition, a systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.
Physical Examination
On physical examination, signs of iron deficiency anemia[1] can be found in patients with occult bleeding like:
Appearance of the Patient
- Clinical presentation of a patient with angiodysplasia varies according to blood loss.
- Patients with chronic, occult blood loss may appear pale, tired, depressed, and lethargic.
Skin
- Skin changes like rough or dry skin may be seen.
- Nail changes like koilonychia may be present
- Hair loss (rare)
HEENT
- Conjunctival pallor, atrophic glossitis,[2] cheilosis may be seen
Lungs
- Pulmonary examination of patients with angiodysplasia is usually normal.
Heart
- A systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.
Abdomen/Pelvis
- Abdominal examination of patients with angiodysplasia is usually normal. In some cases, however, a lower abdominal/pelvic mass may be the only clue for the diagnosis.
Genitourinary
- Genitourinary examination of patients with angiodysplasia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with angiodysplasia is usually normal.
References
- ↑ Auerbach M, Adamson JW (2016). "How we diagnose and treat iron deficiency anemia". Am J Hematol. 91 (1): 31–8. doi:10.1002/ajh.24201. PMID 26408108.
- ↑ Osaki T, Ueta E, Arisawa K, Kitamura Y, Matsugi N (1999). "The pathophysiology of glossal pain in patients with iron deficiency and anemia". Am J Med Sci. 318 (5): 324–9. doi:10.1097/00000441-199911000-00007. PMID 10555095.