Ulcerative colitis physical examination: Difference between revisions
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As ulcerative colitis is a [[systemic]] disease, patients may present with [[symptom]]s and [[complication (medicine)|complications]] outside the colon. These include the following: | As ulcerative colitis is a [[systemic]] disease, patients may present with [[symptom]]s and [[complication (medicine)|complications]] outside the colon. These include the following: | ||
===Eyes=== | |||
* Ophthalmic (involving the eyes): | * Ophthalmic (involving the eyes): | ||
** [[Iritis]] or [[uveitis]], which is inflammation of the iris | ** [[Iritis]] or [[uveitis]], which is inflammation of the iris | ||
** Episcleritis | ** Episcleritis | ||
===Musculoskeletal=== | |||
* Musculoskeletal: | * Musculoskeletal: | ||
** Seronegative [[arthritis]], which can be a large-joint [[arthritis|oligoarthritis]] (affecting one or two joints), or may affect many small joints of the hands and feet | ** Seronegative [[arthritis]], which can be a large-joint [[arthritis|oligoarthritis]] (affecting one or two joints), or may affect many small joints of the hands and feet | ||
** [[Ankylosing spondylitis]], arthritis of the spine | ** [[Ankylosing spondylitis]], arthritis of the spine | ||
** [[Sacroiliitis]], arthritis of the lower spine | ** [[Sacroiliitis]], arthritis of the lower spine | ||
===Skin=== | |||
* Cutaneous (related to the skin): | * Cutaneous (related to the skin): | ||
** [[Erythema nodosum]], which is a [[panniculitis]], or inflammation of subcutaneous tissue involving the lower extremities | ** [[Erythema nodosum]], which is a [[panniculitis]], or inflammation of subcutaneous tissue involving the lower extremities | ||
** [[Pyoderma gangrenosum]], which is a painful ulcerating lesion involving the [[skin]] | ** [[Pyoderma gangrenosum]], which is a painful ulcerating lesion involving the [[skin]] | ||
===Other=== | |||
* [[Deep venous thrombosis]] and [[pulmonary embolism]] | * [[Deep venous thrombosis]] and [[pulmonary embolism]] | ||
* [[Autoimmune hemolytic anemia]] | * [[Autoimmune hemolytic anemia]] | ||
* [[Clubbing]], a deformity of the ends of the fingers | * [[Clubbing]], a deformity of the ends of the fingers | ||
* [[Primary sclerosing cholangitis]], or inflammation of the bile ducts | * [[Primary sclerosing cholangitis]], or inflammation of the bile ducts | ||
* [[Mouth ulcer|Aphthous ulcers]] of the mouth | |||
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Revision as of 16:09, 3 May 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
As ulcerative colitis is a systemic disease, patients may present with symptoms and complications outside the colon. These include the following:
Eyes
Musculoskeletal
- Musculoskeletal:
- Seronegative arthritis, which can be a large-joint oligoarthritis (affecting one or two joints), or may affect many small joints of the hands and feet
- Ankylosing spondylitis, arthritis of the spine
- Sacroiliitis, arthritis of the lower spine
Skin
- Cutaneous (related to the skin):
- Erythema nodosum, which is a panniculitis, or inflammation of subcutaneous tissue involving the lower extremities
- Pyoderma gangrenosum, which is a painful ulcerating lesion involving the skin
Other
- Deep venous thrombosis and pulmonary embolism
- Autoimmune hemolytic anemia
- Clubbing, a deformity of the ends of the fingers
- Primary sclerosing cholangitis, or inflammation of the bile ducts
- Aphthous ulcers of the mouth
-
Patients with ulcerative colitis can occasionally have Aphthous ulcers involving the tongue, lips, palate and pharynx
