Radiation proctitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with radiation proctitis may appear pale and [[Dehydration|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]].<ref name="pmid8677984">{{cite journal| author=Babb RR| title=Radiation proctitis: a review. | journal=Am J Gastroenterol | year= 1996 | volume= 91 | issue= 7 | pages= 1309-11 | pmid=8677984 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8677984 }}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 08:30, 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.[1]
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
References
- ↑ Babb RR (1996). "Radiation proctitis: a review". Am J Gastroenterol. 91 (7): 1309–11. PMID 8677984.