Spontaneous bacterial peritonitis physical examination: Difference between revisions
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* [[Hypotension]] can be seen in cases of [[volume loss]] due [[diarrhea]] or severe [[ascites]]. | * [[Hypotension]] can be seen in cases of [[volume loss]] due [[diarrhea]] or severe [[ascites]]. | ||
====Pulse==== | ====Pulse==== | ||
* May be normal or | * May be normal or increased in rate due to [[infection]]. | ||
* It may be low in volume due to [[dehydration]]. | * It may be low in volume due to [[dehydration]]. | ||
===Skin=== | ===Skin=== | ||
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* Signs of [[heart failure]] may be seen like [[S3]]. | * Signs of [[heart failure]] may be seen like [[S3]]. | ||
===Lungs=== | ===Lungs=== | ||
* Signs of any [[infection]] , signs of volume overload in lungs due to [[heart failure]]. | * Signs of any [[infection]], or signs of volume overload in lungs due to [[heart failure]]. | ||
===Abdomen=== | ===Abdomen=== | ||
* Tense and [[distended abdomen]] is noticed. | * Tense and [[distended abdomen]] is noticed. | ||
Revision as of 15:28, 9 August 2012
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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 increased 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, or 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
Following may be noticed when spontaneous bacterial peritonitis complicates or due to underlying liver or renal failure.