Chronic pancreatitis physical examination: Difference between revisions

	Chronic pancreatitis Microchapters
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VisualWikitext

Revision as of 20:24, 11 December 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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

Appearance of the Patient

Patients with chronic pancreatitis may assume a characteristic position in an attempt to relieve their abdominal pain:
- Lying on the left side
- Flexing the spine
- Drawing the knees up toward the chest
Patients with steatorrhea or advanced disease may present as
- Subcutaneous fat
- Temporal wasting
- Sunken supraclavicular fossa
- Other physical signs of malnutrition

Skin

By Herbert L. Fred, MD and Hendrik A. van Dijk (http://cnx.org/content/m14904/latest/) [CC BY 2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons

By Herbert L. Fred, MD and Hendrik A. van Dijk (http://cnx.org/content/m14942/latest/) [CC BY 2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons

Abdomen

A palpable abdominal mass in the epigastrium

Template:WH Template:WS

@@ Line 29: / Line 29: @@
 **Sunken supraclavicular fossa
 **Other physical signs of malnutrition
-===Vital Signs===
-*[[Hypothermia]] / hyperthermia may be present
-*[[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
-*[[Bradycardia]] with regular pulse or (ir)regularly irregular pulse
-*Tachypnea / bradypnea
-*Kussmal respirations may be present in _____ (advanced disease state)
-*Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
-*High/low blood pressure with normal pulse pressure / [[wide pulse pressure]] / [[narrow pulse pressure]]
 ===Skin===
@@ Line 48: / Line 38: @@
 [[Image:Cullen's sign.jpg|500 px|frame|center|By Herbert L. Fred, MD and Hendrik A. van Dijk (http://cnx.org/content/m14904/latest/) [CC BY 2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons]]
 [[Image:Hemorrhagic pancreatitis - Grey Turner's sign.jpg|500 px|thumb|center|By Herbert L. Fred, MD and Hendrik A. van Dijk (http://cnx.org/content/m14942/latest/) [CC BY 2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons]]
-===Lungs===
-* Asymmetric chest expansion / Decreased chest expansion
-*Lungs are hypo/hyperresonant
-*Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
-*Rhonchi
-*Vesicular breath sounds / Distant breath sounds
-*Expiratory/inspiratory wheezing with normal / delayed expiratory phase
-*[[Wheezing]] may be present
-*[[Egophony]] present/absent
-*[[Bronchophony]] present/absent
-*Normal/reduced [[tactile fremitus]]
-===Heart===
-*
 ===Abdomen===
-*A palpable abdominal mass in the epigastrium
+*A palpable abdominal mass in the epigastrium{{Reflist|2}}
-===Back===
-*Point tenderness over __ vertebrae (e.g. L3-L4)
-*Sacral edema
-*Costovertebral angle tenderness bilaterally/unilaterally
-*Buffalo hump
-*
-===Neuromuscular===
-*Patient is usually oriented to persons, place, and time
-* Altered mental status
-* Glasgow coma scale is ___ / 15
-* Clonus may be present
-* Hyperreflexia / hyporeflexia / areflexia
-* Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
-* Muscle rigidity
-* Proximal/distal muscle weakness unilaterally/bilaterally
-* ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
-*Unilateral/bilateral upper/lower extremity weakness
-*Unilateral/bilateral sensory loss in the upper/lower extremity
-*Positive straight leg raise test
-*Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
-*Positive/negative Trendelenburg sign
-*Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
-*Normal finger-to-nose test / Dysmetria
-*Absent/present dysdiadochokinesia (palm tapping test)
-===Extremities===
-*[[Clubbing]]
-*[[Cyanosis]]
-*Pitting/non-pitting [[edema]] of the upper/lower extremities
-*Muscle atrophy
-*Fasciculations in the upper/lower extremity
-==References==
-{{Reflist|2}}
 {{WH}}
 {{WS}}
 [[Category: (name of the system)]]