Esophagitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | |||
*Appearance is usually normal in patients with esophagitis, but patients with infectious esophagitis are usually cachectic given the immunocompromised status. | |||
===Vital Signs=== | |||
*Temperature- Hyperthermia in patients with infectious esophagitis. | |||
*Heart rate- Tachycardia in patients with infectious esophagitis. | |||
*Respiratory rate- Normal | |||
*Blood pressure- Normal range 120/80-140/90 | |||
===Skin=== | |||
*Skin- Normal | |||
===HEENT=== | |||
*Sclera- Anicteric | |||
*Extra-ocular movements- normal | |||
*Pupils reactive to light / reactive to accommodation | |||
*Ophthalmoscopic exam is normal | |||
* Hearing acuity normal | |||
*[[Weber test]]-normal | |||
*[[Rinne test]]-positive | |||
* Ear canal- normal | |||
===Neck=== | |||
*Normal- Jugualar venous pulse | |||
*[[Carotid pulse]]- normal | |||
*[[Lymphnodes]]-normal | |||
*[[Thyroid]]-normal | |||
===Lungs=== | |||
* Symmetric chest expansion | |||
*Lungs are resonant | |||
*Normal vesicular breath sounds heard | |||
*[[Wheezing]] may be present | |||
*[[Egophony]] absent | |||
*[[Bronchophony]] absent | |||
*Normal [[tactile fremitus]] | |||
===Heart=== | |||
*PMI within 2 cm of the sternum (PMI) | |||
*[[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]] | |||
===Abdomen=== | |||
*Abdominal examination is normal | |||
*No organomegaly | |||
*No bruits heard | |||
===Back=== | |||
*Normal | |||
===Genitourinary=== | |||
*Nomal | |||
===Neuromuscular=== | |||
*Patient is usually oriented to persons, place, and time | |||
* Normal mental status | |||
* Glasgow coma scale is 15/ 15 | |||
* Clonus may be present | |||
* Normal deep tendon reflexes | |||
* Normal cranial nerve examination | |||
* Normal Gait | |||
* Normal cerebellar examination | |||
===Extremities=== | |||
* Normal | |||
==References== | ==References== |
Revision as of 13:16, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
The physical examination usually is not helpful in confirming the diagnosis of uncomplicated esophagitis. However, the examination may reveal other potential sources of chest or abdominal pain.
Physical Examination
Appearance of the Patient
- Appearance is usually normal in patients with esophagitis, but patients with infectious esophagitis are usually cachectic given the immunocompromised status.
Vital Signs
- Temperature- Hyperthermia in patients with infectious esophagitis.
- Heart rate- Tachycardia in patients with infectious esophagitis.
- Respiratory rate- Normal
- Blood pressure- Normal range 120/80-140/90
Skin
- Skin- Normal
HEENT
- Sclera- Anicteric
- Extra-ocular movements- normal
- Pupils reactive to light / reactive to accommodation
- Ophthalmoscopic exam is normal
- Hearing acuity normal
- Weber test-normal
- Rinne test-positive
- Ear canal- normal
Neck
- Normal- Jugualar venous pulse
- Carotid pulse- normal
- Lymphnodes-normal
- Thyroid-normal
Lungs
- Symmetric chest expansion
- Lungs are resonant
- Normal vesicular breath sounds heard
- Wheezing may be present
- Egophony absent
- Bronchophony absent
- Normal tactile fremitus
Heart
Abdomen
- Abdominal examination is normal
- No organomegaly
- No bruits heard
Back
- Normal
Genitourinary
- Nomal
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Normal mental status
- Glasgow coma scale is 15/ 15
- Clonus may be present
- Normal deep tendon reflexes
- Normal cranial nerve examination
- Normal Gait
- Normal cerebellar examination
Extremities
- Normal