Dyspepsia physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with dyspepsia may include: | |||
===Appearance of the Patient=== | |||
*Patients with gastritis may appear pale. Some patients may appear [[Fatigue|fatigued]] and in distress, is associated with [[abdominal pain]]. | |||
===Vital Signs=== | |||
*Vital signs are usually normal. | |||
*When associated with [[gastrointestinal bleed]], vital signs include: | |||
:*[[Tachycardia]] | |||
===Skin=== | |||
*[[Pallor]] may observed in patients presenting with [[melena]] and [[hematemesis]]. | |||
===HEENT=== | |||
*On examination of the [[eyes]], [[conjunctival]] [[pallor]] may be observed. | |||
===Lungs=== | |||
*[[Breath sounds|Normal vesicular breath sounds]] are observed. | |||
*[[Halitosis]] may be observed in case of chronic gastritis. | |||
===Heart=== | |||
*Chest tenderness may be present on palpation in case of ''[[Helicobacter pylori]]'' infection associated gastritis | |||
*S1 and S2 are normal | |||
===Abdomen=== | |||
*Epigastric [[tenderness]] may be present. | |||
*Gastritis associated with [[Gastric ulcer|gastric ulcers]] may result in [[blood loss]] and the [[stool test]] may be guaiac-positive. | |||
[[Category:Gastroenterology]] | |||
{{WH}} | |||
{{WS}} | |||
==References== | ==References== | ||
Revision as of 17:11, 24 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
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Overview
Physical Examination
Physical examination of patients with dyspepsia may include:
Appearance of the Patient
- Patients with gastritis may appear pale. Some patients may appear fatigued and in distress, is associated with abdominal pain.
Vital Signs
- Vital signs are usually normal.
- When associated with gastrointestinal bleed, vital signs include:
Skin
- Pallor may observed in patients presenting with melena and hematemesis.
HEENT
- On examination of the eyes, conjunctival pallor may be observed.
Lungs
- Normal vesicular breath sounds are observed.
- Halitosis may be observed in case of chronic gastritis.
Heart
- Chest tenderness may be present on palpation in case of Helicobacter pylori infection associated gastritis
- S1 and S2 are normal
Abdomen
- Epigastric tenderness may be present.
- Gastritis associated with gastric ulcers may result in blood loss and the stool test may be guaiac-positive.