Radiation proctitis physical examination

Radiation proctitis Microchapters
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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

Physical examination of patients with Radiation proctitis include:

Appearance of the Patient

• Patients with Radiation proctitis may appear dehydrated due to diarrhea.

Vital Signs

• Fever
• Tachycardia
• Low blood pressure due to dehydration

Skin

• Injection mark of IV drug use( HIV risk)

• 
  Description (Adapted from Dermatology Atlas)

HEENT

• HEENT examination of patients with [disease name] is usually normal.

OR

• Abnormalities of the head/hair may include ___
• Evidence of trauma
• Icteric sclera
• Nystagmus
• Extra-ocular movements may be abnormal
• Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
• Ophthalmoscopic exam may be abnormal with findings of ___
• Hearing acuity may be reduced
• Weber test may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
• Rinne test may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
• Exudate from the ear canal
• Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
• Inflamed nares / congested nares
• Purulent exudate from the nares
• Facial tenderness
• Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae

Neck

• Lymphadenopathy to be checked (to rule out systemic infection such as CMV, TB, lymphogranuloma venerum caused Chlamydia trachomatis )
• Thyromegaly / thyroid nodules
• Hepatojugular reflux

Lungs

• Pulmonary examination of patients with radiation proctitis is usually normal.

Heart

• Normal S1 and S2
• Tachycardia

Abdomen

• Abdominal tenderness generalized
• Discharge of mucus or pus from your rectum
• Bleeding from the rectum
• Perirectal fistula, anal ulceration, and a fibrotic rectum with mucus and blood.

Back

• Back examination of patients with [disease name] is usually normal

Genitourinary

• Genitourinary examination of patients with [disease name] is usually normal

Neuromuscular

• Neuromuscular examination of patients with [disease name] is usually normal.

Extremities

• Extremities examination of patients with [disease name] is usually normal