Chronic diarrhea physical examination: Difference between revisions
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* [[dermatographism]] | * [[dermatographism]] | ||
* [[Hyperpigmentation]] | * [[Hyperpigmentation]] seen with [[Addison's disease|Addison disease]] | ||
* [[dermatitis herpetiformis]] | * [[dermatitis herpetiformis]] seen with [[celiac disease]] | ||
* Migratory necrotizing erythema | * Migratory necrotizing erythema seen with [[glucagonoma]] | ||
* [[flushing]] | * [[flushing]] seen with [[carcinoid syndrome]] | ||
===HEENT=== | ===HEENT=== | ||
Revision as of 20:58, 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
- Hyperpigmentation seen with Addison disease
- dermatitis herpetiformis seen with celiac disease
- Migratory necrotizing erythema seen with glucagonoma
- flushing seen with carcinoid syndrome
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.