Duodenal atresia physical examination: Difference between revisions

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Revision as of 15:01, 27 December 2017

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

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 duodenal atresia is usually remarkable for: Abdominal distension, dehydration, and irritability.

Appearance of the Patient

Patients with duodenal atresia usually appear restless, and irritable.

Vital Signs

Tachycardia with regular pulse

Skin

Increased skin turgor
Dry skin

HEENT

Dry mouth

Neck

No neck abnormalities present

Lungs

Clear breath sounds bilaterally
No wheezes
No crackles

Heart

Normal S1 S2
No murmurs
No rubs
No gallops

Abdomen

Back

Normal

Genitourinary

Normal

Neuromuscular

Normal

Extremities

Normal

References

Template:WH Template:WS

@@ Line 20: / Line 20: @@
 ==Physical Examination==
-*Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
+*Physical examination of patients with duodenal atresia is usually remarkable for: Abdominal distension, dehydration, and irritability.
-*The presence of [finding(s)] on physical examination is diagnostic of [disease name].
-*The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
 ===Appearance of the Patient===
-*Patients with [disease name] usually appear [general appearance].
+*Patients with duodenal atresia usually appear restless, and irritable.
 ===Vital Signs===
 *[[Tachycardia]] with regular pulse
 ===Skin===
 *Increased skin turgor
+*Dry skin
-<gallery widths=150px>
-UploadedImage-01.jpg | Description {{dermref}}
-UploadedImage-02.jpg | Description {{dermref}}
-</gallery>
 ===HEENT===
-* Abnormalities of the head/hair may include ___
+* Dry mouth
-* Evidence of trauma
-* Icteric sclera
-* [[Nystagmus]]
-* Extra-ocular movements may be abnormal
-*Pupils non-reactive to light / non-reactive to accomodation / non-reactive to neither light nor accomodation
-*Ophthalmoscopic exam may be abnormal with findings of ___
-* Hearing acuity may be reduced
-*[[Weber test]] may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
-*[[Rinne test]] may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
-* [[Exudate]] from the ear canal
-* Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal)
-*Inflamed nares / congested nares
-* [[Purulent]] exudate from the nares
-* Facial tenderness
-* Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
 ===Neck===
-*[[Jugular venous distension]]
+*No neck abnormalities present
-*[[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
-*[[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
-*[[Thyromegaly]] / thyroid nodules
-*[[Hepatojugular reflux]]
 ===Lungs===
-* Asymmetric chest expansion / Decreased chest expansion
+* Clear breath sounds bilaterally
-*Lungs are hypo/hyperresonant
+* No wheezes
-*Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
+* No crackles
-*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===
-*Chest tenderness upon palpation
+*Normal S1 S2
-*PMI within 2 cm of the sternum  (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
+*No murmurs
-*[[Heave]] / [[thrill]]
+*No rubs
-*[[Friction rub]]
+*No gallops
-*[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
-*[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
-*[[Heart sounds#Third heart sound S3|S3]]
-*[[Heart sounds#Fourth heart sound S4|S4]]
-*[[Heart sounds#Summation Gallop|Gallops]]
-*A high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
 ===Abdomen===
 *[[Abdominal distention]]
-*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant
+*[[Abdominal tenderness]]
-*[[Rebound tenderness]] (positive Blumberg sign)
-*A palpable abdominal mass in the right/left upper/lower abdominal quadrant
-*Guarding may be present
-*[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
-*Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
 ===Back===
-*Point tenderness over __ vertebrae (e.g. L3-L4)
+*Normal
-*Sacral edema
-*Costovertebral angle tenderness bilaterally/unilaterally
-*Buffalo hump
 ===Genitourinary===
-*A pelvic/adnexal mass may be palpated
+*Normal
-*Inflamed mucosa
-*Clear/(color), foul-smelling/odorless penile/vaginal discharge
 ===Neuromuscular===
-*Patient is usually oriented to persons, place, and time
+*Normal
-* 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]]
+*Normal
-*[[Cyanosis]]
-*Pitting/non-pitting [[edema]] of the upper/lower extremities
-*Muscle atrophy
-*Fasciculations in the upper/lower extremity
 ==References==