Chronic diarrhea physical examination: Difference between revisions
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===Appearance of the patient=== | ===Appearance of the patient=== | ||
Patient appears ill, lethargic and dehydrated | |||
===Vital Signs=== | ===Vital Signs=== | ||
[[Orthostasis]] | * [[Orthostasis]] | ||
* [[hypotension]] | |||
* Fever | |||
===Skin=== | ===Skin=== | ||
[[Urticaria pigmentosa]] | * [[Urticaria pigmentosa]] | ||
* [[dermatographism]] | |||
* [[Hyperpigmentation]], | |||
* [[dermatitis herpetiformis]], | |||
* Migratory necrotizing erythema, | |||
* [[flushing]] | |||
===HEENT=== | ===HEENT=== | ||
===Neck=== | ===Neck=== | ||
[[Thyroid nodule]], [[lymphadenopathy]] | [[Thyroid nodule]], [[lymphadenopathy]] in case of hyperthyroidism | ||
===Lungs=== | ===Lungs=== | ||
[[wheezing]] | [[wheezing]] in carcinoid syndrome | ||
===Heart=== | ===Heart=== | ||
Heart murmur in Hyperthyroidism and carcinoid syndrome | |||
===Abdomen=== | ===Abdomen=== | ||
[[Hepatomegaly]], | * [[Hepatomegaly]], | ||
* A[[abdominal bruit|bdominal bruit]] | |||
===Genitourinary=== | ===Genitourinary=== | ||
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===Extremities=== | ===Extremities=== | ||
Tremor, | * Tremor, | ||
* Lid lag, seen with hyperthyroidism | |||
===Neuromuscular=== | ===Neuromuscular=== | ||
Revision as of 20:56, 6 July 2017
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Chronic diarrhea Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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
Patient appears ill, lethargic and dehydrated
Vital Signs
- hypotension
- Fever
Skin
- Migratory necrotizing erythema,
HEENT
Neck
Thyroid nodule, lymphadenopathy in case of hyperthyroidism
Lungs
wheezing in carcinoid syndrome
Heart
Heart murmur in Hyperthyroidism and carcinoid syndrome
Abdomen
Genitourinary
Anal sphincter weakness
Extremities
- Tremor,
- Lid lag, seen with hyperthyroidism
Neuromuscular
References
- ↑ 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.