Ischemic colitis physical examination: Difference between revisions
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*The physical examination findings of ischemic colitis are as follows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | *The physical examination findings of ischemic colitis are as follows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | ||
* Physical examination of patients with | *Physical examination of patients with umbilical hernia is usually remarkable for: abdominal tenderness, heme-positive rectal exam, and rebound tenderness if peritonitis is present. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Abdominal tenderness]] over the affected area of bowel | *[[Abdominal tenderness]] over the affected area of bowel | ||
**[[Abdominal tenderness]] in 21% of patients | |||
**[[Abdominal | *[[Rebound tenderness]] present if peritonitis | ||
===Back=== | ===Back=== | ||
Revision as of 21:07, 11 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Ischemic colitis is characterized by abdominal pain which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness.
Physical Examination
- Physical examination of patients with umbilical hernia is usually remarkable for: abdominal tenderness, heme-positive rectal exam, and rebound tenderness if peritonitis is present.
Appearance of the Patient
- Patients with [disease name] usually appear [general appearance].
Vital Signs
- Tachycardia with regular pulse
- Tachypnea
Skin
- Skin examination of patients with umbilical hernia is usually normal.
HEENT
- HEENT examination of patients with umbilical hernia is usually normal.
Neck
- Neck examination of patients with umbilical hernia is usually normal.
Lungs
- Pulmonary examination of patients with umbilical hernia is usually normal.
Heart
- Cardiovascular examination of patients with umbilical hernia is usually normal.
Abdomen
- Abdominal distention
- Abdominal tenderness over the affected area of bowel
- Abdominal tenderness in 21% of patients
- Rebound tenderness present if peritonitis
Back
- Back examination of patients with umbilical hernia is usually normal.
Genitourinary
- Genitourinary examination of patients with umbilical hernia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with umbilical hernia is usually normal.
Extremities
- Extermities examination of patients with umbilical hernia is usually normal.
References
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.
- ↑ Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F (2006). "Ischemic colitis". Am. J. Surg. 192 (5): 679–84. doi:10.1016/j.amjsurg.2005.09.018. PMID 17071206.