Irritable bowel syndrome physical examination: Difference between revisions
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===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] may be present | ||
*[[Abdominal tenderness]] in | *[[Abdominal tenderness]] may be elicited in different quadrants | ||
* | *No abdominal mass palpable | ||
===Genitourinary=== | ===Genitourinary=== | ||
* | *WNL | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to persons, place, and time | *Patient is usually oriented to persons, place, and time | ||
===Extremities=== | ===Extremities=== | ||
* | * | ||
==References== | ==References== | ||
Revision as of 21:11, 6 November 2017
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Irritable bowel syndrome Microchapters |
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Differentiating Irritable bowel syndrome from other Diseases |
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Diagnosis |
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Irritable bowel syndrome physical examination On the Web |
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American Roentgen Ray Society Images of Irritable bowel syndrome physical examination |
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Risk calculators and risk factors for Irritable bowel syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with IBS usually appear normal. Physical examination of patients with IBS may elicit tenderness in the abdomen. A digital rectal examination must be performed in all patients to rule out rectal growths, blood in stool and evaluate for dyssynergic defecation (where paradoxical contraction of the rectal sphincter occurs on bearing down and abnormal perineal descent). Physical findings such as fever, abdominal mass, hepatosplenomegaly, lymph node enlargement, weight loss, peritoneal signs and ascites are absent and help rule out organic causes.
Appearance of the Patient
- Patients with IBS usually appear normal/mildly distressed.
Vital Signs
- patients are usually afebrile.
- patients have regular pulse, tachycardia may be present in case of dehydration
- Respiratory rate normal
Skin
- skin turgor is normal in most patients
- skin turgor is reduced in IBS-diarrhea patients with dehydration as a complication
HEENT
WNL
Neck
WNL
Lungs
- Normal chest expansion
- Normal vesicular breath sounds in B/L lung fields
- Normal tactile fremitus
Heart
Abdomen
- Abdominal distention may be present
- Abdominal tenderness may be elicited in different quadrants
- No abdominal mass palpable
Genitourinary
- WNL
Neuromuscular
- Patient is usually oriented to persons, place, and time