Toxic megacolon physical examination: Difference between revisions
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*Abdominal guarding | *Abdominal guarding | ||
*Abdominal rigidity | *Abdominal rigidity | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
Revision as of 20:23, 15 November 2017
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Toxic Megacolon Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Toxic megacolon physical examination On the Web |
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American Roentgen Ray Society Images of Toxic megacolon physical examination |
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Risk calculators and risk factors for Toxic megacolon physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Patients with toxic megacolon usually appear ill and dehydrated. Physical examination of patients with toxic megacolon is usually remarkable for abdominal pain and tenderness, abdominal distention, decreased bowel sounds.[1][2][3][4]
Appearance of the Patient
- Patients with toxic megacolon usually appear ill.
Vital Signs
- High-grade fever (usually temperature >101.5°F (38.6°C)
- Tachycardia with regular pulse ( usually heart rate >120 beats/min)
- Low blood pressure with normal pulse pressure
Skin
Abdomen
- Abdominal distention
- Abdominal rebound tenderness
- Abdominal guarding
- Abdominal rigidity
Neuromuscular
- Altered mental status
References
- ↑ Gan, S. Ian; Beck, P. L. (2003). "A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management". The American Journal of Gastroenterology. 98 (11): 2363–2371. doi:10.1111/j.1572-0241.2003.07696.x. ISSN 0002-9270.
- ↑ Jalan KN, Sircus W, Card WI, Falconer CW, Bruce CB, Crean GP, McManus JP, Small WP, Smith AN (1969). "An experience of ulcerative colitis. I. Toxic dilation in 55 cases". Gastroenterology. 57 (1): 68–82. PMID 5305933.
- ↑ Strong SA (2010). "Management of acute colitis and toxic megacolon". Clin Colon Rectal Surg. 23 (4): 274–84. doi:10.1055/s-0030-1268254. PMC 3134807. PMID 22131898.
- ↑ Sayedy, Leena (2010). "Toxic megacolon associatedClostridium difficilecolitis". World Journal of Gastrointestinal Endoscopy. 2 (8): 293. doi:10.4253/wjge.v2.i8.293. ISSN 1948-5190.