Boerhaave syndrome physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical examination== | ==Physical examination== | ||
=== '''Appearance of the Patient''' === | |||
The patient might be in moderate distress with epigastric pain and bleeding. | |||
=== '''Vital Signs''' === | |||
* [[Tachycardia]] | |||
* Weak pulse | |||
* Hypotension | |||
=== '''Skin''' === | |||
* [[Pallor]] | |||
=== HEENT === | |||
* Normal | |||
=== Neck === | |||
* Low Jugular venous pressure | |||
=== Lungs === | |||
* Normal | |||
=== Heart === | |||
* [[Tachycardia]] | |||
=== Abdomen === | |||
* Normal | |||
=== Back === | |||
* Normal | |||
=== Extremities === | |||
* Normal | |||
=== Genitourinary === | |||
* Normal | |||
=== Neuromuscular === | |||
* Normal | |||
Physical examination is usually not helpful, particularly early in the course. [[Subcutaneous emphysema]] (crepitation) is an important diagnostic finding but is not very sensitive, being present in only 9 of 34 patients (27 percent) in one series . A pleural effusion may be detected. A case report described presentation with an Enterococcal bacterial pericardial effusion. | Physical examination is usually not helpful, particularly early in the course. [[Subcutaneous emphysema]] (crepitation) is an important diagnostic finding but is not very sensitive, being present in only 9 of 34 patients (27 percent) in one series . A pleural effusion may be detected. A case report described presentation with an Enterococcal bacterial pericardial effusion. | ||
Revision as of 19:47, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination
Appearance of the Patient
The patient might be in moderate distress with epigastric pain and bleeding.
Vital Signs
- Tachycardia
- Weak pulse
- Hypotension
Skin
HEENT
- Normal
Neck
- Low Jugular venous pressure
Lungs
- Normal
Heart
Abdomen
- Normal
Back
- Normal
Extremities
- Normal
Genitourinary
- Normal
Neuromuscular
- Normal
Physical examination is usually not helpful, particularly early in the course. Subcutaneous emphysema (crepitation) is an important diagnostic finding but is not very sensitive, being present in only 9 of 34 patients (27 percent) in one series . A pleural effusion may be detected. A case report described presentation with an Enterococcal bacterial pericardial effusion.