Spontaneous bacterial peritonitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the patient=== | |||
* The patient may appear toxic and in distress because of [[pain in the abdomen]]. | |||
===Vital Signs=== | |||
====Temperature==== | |||
* May have increase in temperature due to [[infection]]. | |||
* It may decreased if disease progresses to [[septic shock]]. | |||
====Blood Pressure==== | |||
* [[Hypertension]] can be seen if associated with any [[heart condition]] or [[renal disease]]. | |||
* [[Hypotension]] can be seen in cases of [[volume loss]] due [[diarrhea]] or severe [[ascites]]. | |||
====Pulse==== | |||
* May be normal or increase in rate due to [[infection]]. | |||
* It may be low in volume due to [[dehydration]]. | |||
===Skin=== | |||
* Skin over abdomen is tense due to [[ascites]]. | |||
* Skin changes due to [[cirrhosis]] may be seen like [[spider nevus]]. | |||
===Eyes=== | |||
* [[Jaundice]] may be seen in cases of liver [[cirrhosis]]. | |||
* [[Periorbital puffiness]] may be noticed in cases of [[renal failure]]. | |||
===Neck=== | |||
* [[Jugular venous distension]] may be seen in cases of [[heart failure]] causing [[ascites]]. | |||
===Heart=== | |||
* Signs of [[heart failure]] may be seen like [[S3]]. | |||
===Lungs=== | |||
* Signs of any [[infection]] , signs of volume overload in lungs due to [[heart failure]]. | |||
===Abdomen=== | |||
* Tense and [[distended abdomen]] is noticed. | |||
* [[Tenderness]] on palpation. | |||
* [[Shifting dullness]] on percussion, but it may be painful due to [[infection]]. | |||
===Neurologic=== | |||
* | |||
==References== | ==References== | ||
Revision as of 22:37, 31 July 2012
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Spontaneous bacterial peritonitis Microchapters |
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Differentiating Spontaneous bacterial peritonitis from other Diseases |
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Diagnosis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Physical Examination
Appearance of the patient
- The patient may appear toxic and in distress because of pain in the abdomen.
Vital Signs
Temperature
- May have increase in temperature due to infection.
- It may decreased if disease progresses to septic shock.
Blood Pressure
- Hypertension can be seen if associated with any heart condition or renal disease.
- Hypotension can be seen in cases of volume loss due diarrhea or severe ascites.
Pulse
- May be normal or increase in rate due to infection.
- It may be low in volume due to dehydration.
Skin
- Skin over abdomen is tense due to ascites.
- Skin changes due to cirrhosis may be seen like spider nevus.
Eyes
- Jaundice may be seen in cases of liver cirrhosis.
- Periorbital puffiness may be noticed in cases of renal failure.
Neck
- Jugular venous distension may be seen in cases of heart failure causing ascites.
Heart
- Signs of heart failure may be seen like S3.
Lungs
- Signs of any infection , signs of volume overload in lungs due to heart failure.
Abdomen
- Tense and distended abdomen is noticed.
- Tenderness on palpation.
- Shifting dullness on percussion, but it may be painful due to infection.