Barrett's esophagus physical examination: Difference between revisions

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{{Barrett's esophagus}}
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==Overview==
Patients with Barrett's esophagus usually appear [[Ill feeling|ill]] due to the [[pain]]. Common physical examination include [[hoarseness]] of voice, [[laryngitis]], [[otitis media]], and [[Wheeze|lung wheezes]].  


==Physical Examination==
==Physical Examination==
Barrett's Esophagus does not have significat signs on physical examination.
Main physical examination findings regarding Barrett's esophagus include:<ref name="pmid8682579">{{cite journal |author=Richter JE |title=Typical and atypical presentations of gastroesophageal reflux disease. The role of esophageal testing in diagnosis and management |journal=Gastroenterol. Clin. North Am. |volume=25 |issue=1 |pages=75–102 |year=1996 |month=March |pmid=8682579 |doi= |url=}}</ref><ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume=  | issue=  | pages=  | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574  }}</ref><ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632  }}</ref>
Suspicion has to be raised from history (GERD, acid reflux) and associated risk factors.
 
===Appearance of the Patient===
* Patients with Barrett's esophagus usually appear ill and uncomfortable due to the retrosternal [[pain]].
 
===Vital Signs===
* [[Hypertension]] spicking specially in patients already with pre-existing hypertension.
 
===Skin===
*Normal
 
===HEENT===
* [[Hoarseness]] of voice
* [[Laryngitis]]
* [[Otitis media]] 
* [[Erosion (dental)|Dental erosions]] 
 
===Neck===
*Normal
 
===Lungs===
* [[Wheeze|Wheezes]]
* [[Bronchitis]]
 
===Heart===
*[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
*[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
*No rubs or gallops
 
===Abdomen===
*[[Abdominal distention]]
*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant
*[[Epigastric]] [[tenderness]]
 
===Back===
*Normal
 
===Genitourinary===
*Normal
 
===Neuromuscular===
*Normal
 
===Extremities===
*Normal


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]


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Latest revision as of 18:44, 21 February 2018

Barrett's Esophagus Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Barrett's Esophagus from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

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MRI

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Other Diagnostic Studies

Treatment

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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] Amresh Kumar MD [3]

Overview

Patients with Barrett's esophagus usually appear ill due to the pain. Common physical examination include hoarseness of voice, laryngitis, otitis media, and lung wheezes.

Physical Examination

Main physical examination findings regarding Barrett's esophagus include:[1][2][3]

Appearance of the Patient

  • Patients with Barrett's esophagus usually appear ill and uncomfortable due to the retrosternal pain.

Vital Signs

  • Hypertension spicking specially in patients already with pre-existing hypertension.

Skin

  • Normal

HEENT

Neck

  • Normal

Lungs

Heart

  • S1
  • S2
  • No rubs or gallops

Abdomen

Back

  • Normal

Genitourinary

  • Normal

Neuromuscular

  • Normal

Extremities

  • Normal

References

  1. Richter JE (1996). "Typical and atypical presentations of gastroesophageal reflux disease. The role of esophageal testing in diagnosis and management". Gastroenterol. Clin. North Am. 25 (1): 75–102. PMID 8682579. Unknown parameter |month= ignored (help)
  2. Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.
  3. Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.

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