Gastroesophageal reflux disease physical examination: Difference between revisions
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===Appearance of the patient=== | ===Appearance of the patient=== | ||
* Patients with GERD usually appear ill and uncomfortable due to the retrosternal pain. | * Patients with GERD usually appear ill and uncomfortable due to the retrosternal pain. | ||
=== Vital signs === | |||
* Hypertension spicking specially in patients already with hypertension<ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume= | issue= | pages= | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574 }}</ref> | |||
===HEENT=== | ===HEENT=== | ||
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* Laryngitis | * Laryngitis | ||
* Otitis media | * Otitis media | ||
* Dental erosions | |||
===Lungs=== | ===Lungs=== | ||
* Wheezes | * Wheezes | ||
* Bronchitis <ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632 }}</ref> | * Bronchitis <ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632 }}</ref> | ||
=== Abdomen === | |||
* Epigastric tenderness | |||
==References== | ==References== | ||
Revision as of 20:07, 7 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Patients with GERD usually appear ill due to the pain. Common physical examination include hoarseness of voice, laryngitis, otitis media, and lung wheezes.
Physical Examination
Appearance of the patient
- Patients with GERD usually appear ill and uncomfortable due to the retrosternal pain.
Vital signs
- Hypertension spicking specially in patients already with hypertension[1]
HEENT
- Hoarsness of voice
- Laryngitis
- Otitis media
- Dental erosions
Lungs
- Wheezes
- Bronchitis [2]
Abdomen
- Epigastric tenderness
References
- ↑ Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.
- ↑ Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.