Plummer-Vinson syndrome physical examination: Difference between revisions

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Revision as of 16:37, 3 November 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.

Physical Examination

Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include:

Appearance of the Patient

Patients with Plummer-Vinson syndrome usually appear fatigued.

Vital Signs

Hypothermia may be present
Tachycardia
Normal to low blood pressure with normal pulse pressure

Skin

Pale skin color (Pallor)
Blue-tinged or very pale whites of eyes

HEENT

Stomatitis
Glossitis
Cheilitis
Atrophy of lingual papillae
Upper esophageal web or strictures on laryngoscopy

Neck

Odynophagia

Heart

S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure.

Abdomen

Splenomegaly (33%)
Achlorhydria

Neuromuscular

Patient is usually oriented to time, place and person.

Extremities

Koilonychia
Brittle nails

References

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Plummer-Vinson syndrome}}
-{{CMG}}
+{{CMG}}; {{AE}}{{Akshun}}
-Please help WikiDoc by adding more content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
 ==Overview==
-==Physical Examination==
+*Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.
-The condition is associated with [[koilonychia]], [[glossitis]], [[cheilitis]], and [[splenomegaly]].
-*Stomatitis
-*Glossitis
-*Atrophy of lingual papillae
-*Achlorhydria
-*Brittle fingernails
-*Splenomegaly (33%)
-*Anemia
-==Overview==
-Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
-OR
-Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
-OR
-The presence of [finding(s)] on physical examination is diagnostic of [disease name].
-OR
-The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
 ==Physical Examination==
+Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include:
-*Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.
 ===Appearance of the Patient===
 *Patients with Plummer-Vinson syndrome usually appear fatigued.
@@ Line 50: / Line 23: @@
 *Stomatitis
 *Glossitis
+*[[Cheilitis]]
 *Atrophy of lingual papillae
 *Upper esophageal web or strictures on laryngoscopy