Gastrointestinal perforation physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{MAD}} | {{CMG}}; {{AE}} {{MAD}} | ||
{{Gastrointestinal perforation}} | {{Gastrointestinal perforation}} | ||
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* [[Abdominal guarding|Guarding]] may be present | * [[Abdominal guarding|Guarding]] may be present | ||
* [[Cutaneous]] [[fistula]] may be present | * [[Cutaneous]] [[fistula]] may be present | ||
=== Presentation in neonatal perforation: === | |||
* Infants with SIP present with an acute onset of abdominal distension and hypotension. | |||
* Abdominal distention usually occurs without the abdominal wall erythema, crepitus, and induration commonly seen in patients with NEC. | |||
* A black-bluish discoloration of the abdominal wall is often seen in SIP, and is not typical of NEC (picture 2) [1,4,27,33,35,36]. | |||
* The discoloration may extend into the groin and, in males, the scrotum. | |||
==References== | ==References== | ||
Revision as of 18:15, 23 January 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
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Gastrointestinal perforation Microchapters |
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Differentiating gastrointestinal perforation from other diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Gastrointestinal perforation physical examination On the Web |
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American Roentgen Ray Society Images of Gastrointestinal perforation physical examination |
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Gastrointestinal perforation physical examination in the news |
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Risk calculators and risk factors for Gastrointestinal perforation physical examination |
Overview
Gastrointestinal perforation physical examination
Appearance of the Patient
- Patients may appear tired, weak, diaphoretic and anxious especially if sepsis developed.
- Immunocompromised patients may appear quite well at first.
Vital Signs
- Tachycardia
- Rapid weak pulse
- Hypotension occurs due to fluid contraction
Skin
Head
- Scleral icterus in case of liver failure
Lungs
Heart
- Chest tenderness in esophageal perforation patients
Abdomen
- Abdominal distention
- Abdominal tenderness
- A palpable abdominal mass in the lower abdominal quadrant especially with perforated colon
- Guarding may be present
- Cutaneous fistula may be present
Presentation in neonatal perforation:
- Infants with SIP present with an acute onset of abdominal distension and hypotension.
- Abdominal distention usually occurs without the abdominal wall erythema, crepitus, and induration commonly seen in patients with NEC.
- A black-bluish discoloration of the abdominal wall is often seen in SIP, and is not typical of NEC (picture 2) [1,4,27,33,35,36].
- The discoloration may extend into the groin and, in males, the scrotum.