Tropical sprue physical examination: Difference between revisions
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===General Examination=== | ===General Examination=== | ||
Signs of dehydration may be present on examination, which include:<ref name="pmid7117904">{{cite journal| author=Ramakrishna BS, Mathan VI| title=Water and electrolyte absorption by the colon in tropical sprue. | journal=Gut | year= 1982 | volume= 23 | issue= 10 | pages= 843-6 | pmid=7117904 | doi= | pmc=1419837 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7117904 }} </ref> | Signs of dehydration may be present on examination, which include:<ref name="pmid7117904">{{cite journal| author=Ramakrishna BS, Mathan VI| title=Water and electrolyte absorption by the colon in tropical sprue. | journal=Gut | year= 1982 | volume= 23 | issue= 10 | pages= 843-6 | pmid=7117904 | doi= | pmc=1419837 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7117904 }} </ref><ref name="BrownBettington2014">{{cite journal|last1=Brown|first1=Ian S.|last2=Bettington|first2=Andrew|last3=Bettington|first3=Mark|last4=Rosty|first4=Christophe|title=Tropical Sprue|journal=The American Journal of Surgical Pathology|volume=38|issue=5|year=2014|pages=666–672|issn=0147-5185|doi=10.1097/PAS.0000000000000153}}</ref> | ||
* Dry tongue | * Dry tongue | ||
* Low [[blood pressure]] | * Low [[blood pressure]] | ||
Revision as of 17:49, 13 April 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Physical Examination
Physical examination findings in tropical sprue include:
General Examination
Signs of dehydration may be present on examination, which include:[1][2]
- Dry tongue
- Low blood pressure
- Reduced or no urine output; concentrated urine appears dark yellow
- Reduced skin turgor
HEENT
- Pallor
- Angular stomatitis
- Glossitis
- Mouth ulcers
Extremities
- Peripheral edema
Abdomen
- Abdominal examination is normal with no tenderness and organomegaly
CNS
In cases with severe vitamin B12 deficiency features of sub-acute degeneration of spinal cord can be demonstrated.
- Paresthesias, lower extremities weakness, spasticity, ataxic gait
- Loss of vibration and position sense
References
- ↑ Ramakrishna BS, Mathan VI (1982). "Water and electrolyte absorption by the colon in tropical sprue". Gut. 23 (10): 843–6. PMC 1419837. PMID 7117904.
- ↑ Brown, Ian S.; Bettington, Andrew; Bettington, Mark; Rosty, Christophe (2014). "Tropical Sprue". The American Journal of Surgical Pathology. 38 (5): 666–672. doi:10.1097/PAS.0000000000000153. ISSN 0147-5185.