Ischemic colitis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Ischemic colitis}} | {{Ischemic colitis}} | ||
{{CMG}}; {{AE}} {{HQ}} | |||
{{CMG}}; {{AE}} {{HQ}} | |||
==Overview== | ==Overview== | ||
Ischemic colitis is characterized by [[abdominal pain]] which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness. | Ischemic colitis is characterized by [[abdominal pain]] which is out of proportion to physical findings, specifically excruciating [[abdominal pain]] despite limited focal [[tenderness]]. | ||
==Physical Examination== | ==Physical Examination== | ||
*The physical examination findings of ischemic colitis are as follows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | *The physical examination findings of ischemic colitis are as follows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | ||
**Abdomen reveals mild to moderate tenderness over the affected area of the colon. | **[[Abdomen]] reveals mild to moderate [[tenderness]] over the affected area of the [[Colon (anatomy)|colon]]. | ||
***[[Abdominal pain]] in 77% of patients | ***[[Abdominal pain]] in 77% of patients | ||
***[[Abdominal tenderness]] in 21% of patients | ***[[Abdominal tenderness]] in 21% of patients | ||
**Rectal examination shows heme-positive stools. | **[[Rectal]] examination shows heme-positive [[Human feces|stools]]. | ||
**Severe ischemia with transmural infarction and necrosis. | **Severe [[ischemia]] with transmural [[infarction]] and [[necrosis]]. | ||
***Marked abdominal tenderness with peritoneal signs. | ***Marked [[Abdomen|abdominal]] [[tenderness]] with peritoneal signs. | ||
==References== | ==References== | ||
Revision as of 15:36, 9 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Ischemic colitis is characterized by abdominal pain which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness.
Physical Examination
- The physical examination findings of ischemic colitis are as follows:[1][2]
- Abdomen reveals mild to moderate tenderness over the affected area of the colon.
- Abdominal pain in 77% of patients
- Abdominal tenderness in 21% of patients
- Rectal examination shows heme-positive stools.
- Severe ischemia with transmural infarction and necrosis.
- Marked abdominal tenderness with peritoneal signs.
- Abdomen reveals mild to moderate tenderness over the affected area of the colon.
References
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.
- ↑ Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F (2006). "Ischemic colitis". Am. J. Surg. 192 (5): 679–84. doi:10.1016/j.amjsurg.2005.09.018. PMID 17071206.