Gastroparesis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with gastroparesis usually appear normal. Physical examination of patients with gastroparesis is usually remarkable for | Patients with gastroparesis usually appear normal. Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness. | ||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with gastroparesis is usually remarkable for | *Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness. | ||
*The presence of other findings on physical examination depends on cause of gastroparesis. | *The presence of other findings on physical examination depends on the various cause of gastroparesis. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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===Vital Signs=== | ===Vital Signs=== | ||
*Low-grade fever | *Low-grade [[fever]] (in postviral idiopathic gastroparesis)<ref name="pmid25667023">{{cite journal| author=Parkman HP| title=Idiopathic gastroparesis. | journal=Gastroenterol Clin North Am | year= 2015 | volume= 44 | issue= 1 | pages= 59-68 | pmid=25667023 | doi=10.1016/j.gtc.2014.11.015 | pmc=4324534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25667023 }}</ref> | ||
*Orthostatic hypotension | *[[Orthostatic hypotension]] (in [[Diabetes mellitus|diabetic]] gastroparesis) | ||
===Skin=== | ===Skin=== | ||
* | * Dry skin (in severe [[dehydration]]) | ||
* [[Raynaud's phenomenon]] | * [[Raynaud's phenomenon]] (in [[Connective tissue disease|connective tissue disorder]]) | ||
=== HEENT === | |||
* Dry mouth (in severe [[dehydration]]) | |||
* Shrunken eyes (in severe [[dehydration]]) | |||
===Neck=== | ===Neck=== | ||
* | *Neck examination of patients with gastroparesis is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
*Fine/coarse [[crackles]] upon auscultation of the lung bases | *Fine/coarse [[Rales|crackles]] upon auscultation of the lung bases (in [[Connective tissue disease|connective tissue disorder]]) | ||
===Heart=== | |||
* Cardiovascular examination of patients with gastroparesis is usually normal. | |||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Abdominal tenderness]] in the epigastric or periumbilical region | *[[Abdominal tenderness]] in the [[epigastric]] or periumbilical region | ||
*Guarding | *Succussion splash | ||
* | *[[Abdominal guarding|Guarding]] is absent. | ||
=== Back === | |||
* Back examination of patients with gastroparesis is usually normal. | |||
=== Genitourinary === | |||
* Genitourinary examination of patients with gastroparesis is usually normal. | |||
=== Neuromuscular === | |||
* [[Muscles of the abdominal wall|Abdominal muscle]] wall rigidity | |||
* | === Extremities === | ||
* Extremities examination of patients with gastroparesis is usually normal. | |||
==References== | ==References== | ||
Revision as of 17:09, 6 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]
Overview
Patients with gastroparesis usually appear normal. Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness.
Physical Examination
- Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness.
- The presence of other findings on physical examination depends on the various cause of gastroparesis.
Appearance of the Patient
- Patients with gastroparesis usually appear normal.
Vital Signs
- Low-grade fever (in postviral idiopathic gastroparesis)[1]
- Orthostatic hypotension (in diabetic gastroparesis)
Skin
- Dry skin (in severe dehydration)
- Raynaud's phenomenon (in connective tissue disorder)
HEENT
- Dry mouth (in severe dehydration)
- Shrunken eyes (in severe dehydration)
Neck
- Neck examination of patients with gastroparesis is usually normal.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases (in connective tissue disorder)
Heart
- Cardiovascular examination of patients with gastroparesis is usually normal.
Abdomen
- Abdominal distention
- Abdominal tenderness in the epigastric or periumbilical region
- Succussion splash
- Guarding is absent.
Back
- Back examination of patients with gastroparesis is usually normal.
Genitourinary
- Genitourinary examination of patients with gastroparesis is usually normal.
Neuromuscular
- Abdominal muscle wall rigidity
Extremities
- Extremities examination of patients with gastroparesis is usually normal.
References
- ↑ Parkman HP (2015). "Idiopathic gastroparesis". Gastroenterol Clin North Am. 44 (1): 59–68. doi:10.1016/j.gtc.2014.11.015. PMC 4324534. PMID 25667023.