Plummer-Vinson syndrome physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include: | Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include:<ref name="pmid7575056">{{cite journal |vauthors=Hoffman RM, Jaffe PE |title=Plummer-Vinson syndrome. A case report and literature review |journal=Arch. Intern. Med. |volume=155 |issue=18 |pages=2008–11 |year=1995 |pmid=7575056 |doi= |url=}}</ref><ref name="pmid10505167">{{cite journal |vauthors=Mansell NJ, Jani P, Bailey CM |title=Plummer-Vinson syndrome--a rare presentation in a child |journal=J Laryngol Otol |volume=113 |issue=5 |pages=475–6 |year=1999 |pmid=10505167 |doi= |url=}}</ref><ref name="pmid10549778">{{cite journal |vauthors=Anthony R, Sood S, Strachan DR, Fenwick JD |title=A case of Plummer-Vinson syndrome in childhood |journal=J. Pediatr. Surg. |volume=34 |issue=10 |pages=1570–2 |year=1999 |pmid=10549778 |doi= |url=}}</ref><ref name="pmid11753173">{{cite journal |vauthors=López Rodríguez MJ, Robledo Andrés P, Amarilla Jiménez A, Roncero Maíllo M, López Lafuente A, Arroyo Carrera I |title=Sideropenic dysphagia in an adolescent |journal=J. Pediatr. Gastroenterol. Nutr. |volume=34 |issue=1 |pages=87–90 |year=2002 |pmid=11753173 |doi= |url=}}</ref><ref name="pmid4449772">{{cite journal |vauthors=Chisholm M |title=The association between webs, iron and post-cricoid carcinoma |journal=Postgrad Med J |volume=50 |issue=582 |pages=215–9 |year=1974 |pmid=4449772 |pmc=2495558 |doi= |url=}}</ref><ref name="pmid1192404">{{cite journal |vauthors=Larsson LG, Sandström A, Westling P |title=Relationship of Plummer-Vinson disease to cancer of the upper alimentary tract in Sweden |journal=Cancer Res. |volume=35 |issue=11 Pt. 2 |pages=3308–16 |year=1975 |pmid=1192404 |doi= |url=}}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with Plummer-Vinson syndrome usually appear fatigued. | *Patients with Plummer-Vinson syndrome usually appear fatigued. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.
Physical Examination
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include:[1][2][3][4][5][6]
Appearance of the Patient
- Patients with Plummer-Vinson syndrome usually appear fatigued.
Vital Signs
- Hypothermia may be present
- Tachycardia
- Normal to low blood pressure with normal pulse pressure
Skin
- Pale skin color (Pallor)
- Blue-tinged or very pale whites of eyes
HEENT
- Stomatitis
- Glossitis
- Cheilitis
- Atrophy of lingual papillae
- Upper esophageal web or strictures on laryngoscopy
Neck
Odynophagia
Heart
- S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure.
Abdomen
- Splenomegaly (33%)
- Achlorhydria
Neuromuscular
- Patient is usually oriented to time, place and person.
Extremities
- Koilonychia
- Brittle nails
References
- ↑ Hoffman RM, Jaffe PE (1995). "Plummer-Vinson syndrome. A case report and literature review". Arch. Intern. Med. 155 (18): 2008–11. PMID 7575056.
- ↑ Mansell NJ, Jani P, Bailey CM (1999). "Plummer-Vinson syndrome--a rare presentation in a child". J Laryngol Otol. 113 (5): 475–6. PMID 10505167.
- ↑ Anthony R, Sood S, Strachan DR, Fenwick JD (1999). "A case of Plummer-Vinson syndrome in childhood". J. Pediatr. Surg. 34 (10): 1570–2. PMID 10549778.
- ↑ López Rodríguez MJ, Robledo Andrés P, Amarilla Jiménez A, Roncero Maíllo M, López Lafuente A, Arroyo Carrera I (2002). "Sideropenic dysphagia in an adolescent". J. Pediatr. Gastroenterol. Nutr. 34 (1): 87–90. PMID 11753173.
- ↑ Chisholm M (1974). "The association between webs, iron and post-cricoid carcinoma". Postgrad Med J. 50 (582): 215–9. PMC 2495558. PMID 4449772.
- ↑ Larsson LG, Sandström A, Westling P (1975). "Relationship of Plummer-Vinson disease to cancer of the upper alimentary tract in Sweden". Cancer Res. 35 (11 Pt. 2): 3308–16. PMID 1192404.