Radiation proctitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with radiation proctitis may appear pale and dehydrated. Some patients may appear [[Fatigue|fatigued]] and in distress, associated with [[abdominal pain]]. | Patients with radiation proctitis may appear pale and [[Dehydration|dehydrated]]. Some patients may appear [[Fatigue|fatigued]] and in distress, associated with [[abdominal pain]]. | ||
==Physical Examination== | ==Physical Examination== | ||
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* HEENT examination of patients with radiation proctitis is usually normal | * HEENT examination of patients with radiation proctitis is usually normal | ||
===Neck=== | ===Neck=== | ||
*[[Lymphadenopathy]] to be checked (to rule out systemic infection such as CMV, TB, lymphogranuloma venerum caused ''Chlamydia trachomatis'' ) | *[[Lymphadenopathy]] to be checked (to rule out systemic infection such as [[Cytomegalovirus infection|CMV]], [[Tuberculosis|TB]], lymphogranuloma venerum caused ''[[Chlamydia trachomatis]]'' ) | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with radiation proctitis is usually normal. | * Pulmonary examination of patients with radiation proctitis is usually normal. | ||
Revision as of 06:59, 18 June 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Patients with radiation proctitis may appear pale and dehydrated. Some patients may appear fatigued and in distress, associated with abdominal pain.
Physical Examination
Physical examination of patients with radiation proctitis include:"BMJ Best Practice".
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)
HEENT
- HEENT examination of patients with radiation proctitis is usually normal
Neck
- Lymphadenopathy to be checked (to rule out systemic infection such as CMV, TB, lymphogranuloma venerum caused Chlamydia trachomatis )
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 radiation proctitis is usually normal
Genitourinary
- Genitourinary examination of patients with radiation proctitis is usually normal
Neuromuscular
- Neuromuscular examination of patients with radiation proctitis is usually normal.
Extremities
- Extremities examination of patients with radiation proctitis is usually normal