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 | * Patient appears [[Ill feeling|ill]], [[lethargic]] and [[dehydrated]] | ||
===Vital Signs=== | ===Vital Signs=== | ||
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* [[hypotension]] | * [[hypotension]] | ||
* Fever | * [[Fever]] | ||
===Skin=== | ===Skin=== | ||
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* [[dermatographism]] | * [[dermatographism]] | ||
* [[Hyperpigmentation]] seen with [[Addison's disease| | * [[Hyperpigmentation]] seen with [[Addison's disease|addison disease]] | ||
* [[dermatitis herpetiformis]] seen with [[celiac disease]] | * [[dermatitis herpetiformis]] seen with [[celiac disease]] | ||
| Line 33: | Line 33: | ||
===Neck=== | ===Neck=== | ||
[[Thyroid nodule]] | * [[Thyroid nodule]] | ||
* [[lymphadenopathy]] in case of [[hyperthyroidism]] | |||
===Lungs=== | ===Lungs=== | ||
[[wheezing]] in carcinoid syndrome | * [[wheezing]] in [[carcinoid syndrome]] | ||
===Heart=== | ===Heart=== | ||
Heart murmur in Hyperthyroidism and carcinoid syndrome | * [[Heart murmur]] in [[Hyperthyroidism]] and [[carcinoid syndrome]] | ||
===Abdomen=== | ===Abdomen=== | ||
| Line 47: | Line 48: | ||
===Genitourinary=== | ===Genitourinary=== | ||
Anal sphincter weakness | * [[Anal sphincter]] weakness | ||
===Extremities=== | ===Extremities=== | ||
* Tremor | * [[Tremor]] | ||
* Lid lag | * Lid lag seen with [[hyperthyroidism]] | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
[[Arthritis]] | * [[Arthritis]] | ||
==References== | ==References== | ||
Revision as of 15:58, 24 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
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
Heart
Abdomen
Genitourinary
- Anal sphincter weakness
Extremities
- 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.