Short bowel syndrome physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with | Patients with short bowel syndrome usually appear weak and tired. Physical examination of patients with short bowel syndrome is usually remarkable for signs of malabsorption, dehydration and abdominal tenderness. | ||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with | *Physical examination of patients with short bowel syndrome is usually remarkable for: weakness, dehydration and abdominal tenderness and distention. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
Line 37: | Line 23: | ||
* [[Pallor]] | * [[Pallor]] | ||
* [[Xeroderma|Dry skin]] | * [[Xeroderma|Dry skin]] | ||
===HEENT=== | |||
* [[Temporal]] wasting | |||
* [[Corneal erosion]] | |||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*Hyperactive [[bowel sound]] | |||
*[[Abdominal tenderness]] | *[[Abdominal tenderness]] | ||
*[[Rebound tenderness]] (positive Blumberg sign) | *[[Rebound tenderness]] (positive Blumberg sign) | ||
*Guarding may be present | *[[Abdominal guarding|Guarding]] may be present | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to persons, place, and time | *Patient is usually oriented to persons, place, and time | ||
* | * [[Confusion]] | ||
* | * [[Hyporeflexia]] | ||
* [[Peripheral neuropathy]] | |||
*Bilateral extremity weakness | |||
===Extremities=== | ===Extremities=== | ||
* | *Peripheral [[edema]] | ||
*[[Muscle atrophy]] | *[[Muscle atrophy]] | ||
Revision as of 18:00, 21 November 2017
Short bowel syndrome Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: {{SSH}]
Overview
Patients with short bowel syndrome usually appear weak and tired. Physical examination of patients with short bowel syndrome is usually remarkable for signs of malabsorption, dehydration and abdominal tenderness.
Physical Examination
- Physical examination of patients with short bowel syndrome is usually remarkable for: weakness, dehydration and abdominal tenderness and distention.
Appearance of the Patient
- Patients with short bowel syndrome usually appear weak and tired.
Vital Signs
- High-grade / low-grade fever
- Hypothermia may be present
- Tachycardia with regular pulse
- Weak pulse
- Low blood pressure with normal pulse pressure
Skin
HEENT
- Temporal wasting
- Corneal erosion
Abdomen
- Abdominal distention
- Hyperactive bowel sound
- Abdominal tenderness
- Rebound tenderness (positive Blumberg sign)
- Guarding may be present
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Confusion
- Hyporeflexia
- Peripheral neuropathy
- Bilateral extremity weakness
Extremities
- Peripheral edema
- Muscle atrophy