Esophagitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
The physical examination of the esophagitis is following:<ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume= | issue= | pages= | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574 }}</ref><ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632 }}</ref> | The physical examination of the esophagitis is following:<ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume= | issue= | pages= | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574 }}</ref><ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632 }}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
The physical examination usually is not helpful in confirming the diagnosis of uncomplicated esophagitis. However, the examination may reveal other potential sources of chest or abdominal pain.
Physical Examination
The physical examination of the esophagitis is following:[1][2]
Appearance of the Patient
- Appearance is usually normal in patients with esophagitis, but patients with infectious esophagitis are usually cachectic given the immunocompromised status.
Vital Signs
- Temperature- Hyperthermia in patients with infectious esophagitis.
- Heart rate- Tachycardia in patients with infectious esophagitis.
- Respiratory rate- Normal
- Blood pressure- Normal range 120/80-140/90
Skin
- Skin- Normal
HEENT
- Sclera- Anicteric
- Extra-ocular movements- normal
- Pupils reactive to light / reactive to accommodation
- Ophthalmoscopic exam is normal
- Hearing acuity normal
- Weber test-normal
- Rinne test-positive
- Ear canal- normal
Neck
- Normal- Jugualar venous pulse
- Carotid pulse- normal
- Lymphnodes-normal
- Thyroid-normal
Lungs
- Symmetric chest expansion
- Lungs are resonant
- Normal vesicular breath sounds heard
- Wheezing may be present
- Egophony absent
- Bronchophony absent
- Normal tactile fremitus
Heart
Abdomen
- Abdominal examination is normal
- No organomegaly
- No bruits heard
Back
- Normal
Genitourinary
- Nomal
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Normal mental status
- Glasgow coma scale is 15/ 15
- Clonus may be present
- Normal deep tendon reflexes
- Normal cranial nerve examination
- Normal Gait
- Normal cerebellar examination
Extremities
- Normal
References
- ↑ Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.
- ↑ Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.