Chronic diarrhea physical examination: Difference between revisions

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==Overview==
==Overview==
Some of the physical findings of chronic diarrhea are orthostatic hypotension, dehydration, neuropathy, muscle wasting, edema, malnutrition, urticaria pigmentosa, dermatographism, pinch purpura, macroglossia, hyperpigmentation, addison’s disease, migratory necrotizing erythema<ref name="Schiller2012">{{cite journal|last1=Schiller|first1=Lawrence R.|title=Definitions, pathophysiology, and evaluation of chronic diarrhoea|journal=Best Practice & Research Clinical Gastroenterology|volume=26|issue=5|year=2012|pages=551–562|issn=15216918|doi=10.1016/j.bpg.2012.11.011}}</ref>.
Some of the physical findings of chronic diarrhea are [[orthostatic hypotension]], [[dehydration]], [[neuropathy]], [[muscle wasting]], [[edema]], [[malnutrition]], [[urticaria pigmentosa]], [[dermatographism]], pinch purpura, [[macroglossia]], [[hyperpigmentation]], [[Addison's disease|addison’s disease]], migratory necrotizing erythema<ref name="Schiller2012">{{cite journal|last1=Schiller|first1=Lawrence R.|title=Definitions, pathophysiology, and evaluation of chronic diarrhoea|journal=Best Practice & Research Clinical Gastroenterology|volume=26|issue=5|year=2012|pages=551–562|issn=15216918|doi=10.1016/j.bpg.2012.11.011}}</ref>.


==Physical examination==
==Physical examination==
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===Vital Signs===
===Vital Signs===
Orthostasis, hypotension
[[Orthostasis]], [[hypotension]]


===Skin===
===Skin===
Urticaria pigmentosa, dermatographism, Hyperpigmentation, dermatitis herpetiformis, migratory necrotizing erythema, flushing
[[Urticaria pigmentosa]], [[dermatographism]], [[Hyperpigmentation]], [[dermatitis herpetiformis]], migratory necrotizing erythema, [[flushing]]


===HEENT===
===HEENT===


===Neck===
===Neck===
Thyroid nodule, lymphadenopathy
[[Thyroid nodule]], [[lymphadenopathy]]


===Lungs===
===Lungs===
wheezing
[[wheezing]]


===Heart===
===Heart===
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===Abdomen===
===Abdomen===
Hepatomegaly, abdominal bruit
[[Hepatomegaly]], [[abdominal bruit]]


===Back===
===Back===
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===Neuromuscular===
===Neuromuscular===
Arthritis
[[Arthritis]]





Revision as of 12:28, 22 June 2017

Chronic diarrhea Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Chronic diarrhea from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]

Overview

Some of the physical findings of chronic diarrhea are orthostatic hypotension, dehydration, neuropathy, muscle wasting, edema, malnutrition, urticaria pigmentosa, dermatographism, pinch purpura, macroglossia, hyperpigmentation, addison’s disease, migratory necrotizing erythema[1].

Physical examination

Appearance of the patient

Vital Signs

Orthostasis, hypotension

Skin

Urticaria pigmentosa, dermatographism, Hyperpigmentation, dermatitis herpetiformis, migratory necrotizing erythema, flushing

HEENT

Neck

Thyroid nodule, lymphadenopathy

Lungs

wheezing

Heart

heart murmur,

Abdomen

Hepatomegaly, abdominal bruit

Back

Genitourinary

Anal sphincter weakness

Extremities

Tremor, lid lag

Neuromuscular

Arthritis


References

  1. Schiller, Lawrence R. (2012). "Definitions, pathophysiology, and evaluation of chronic diarrhoea". Best Practice & Research Clinical Gastroenterology. 26 (5): 551–562. doi:10.1016/j.bpg.2012.11.011. ISSN 1521-6918.


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