Dyspepsia physical examination: Difference between revisions
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{{Dyspepsia}} | {{Dyspepsia}} | ||
{{CMG}} {{AE}} | {{CMG}} {{AE}} | ||
==Overview== | ==Overview== | ||
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===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with dyspepsia may appear pale. Some patients may appear [[Fatigue|fatigued]] and in distress, is associated with [[abdominal pain]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Vital signs are usually normal. | *Vital signs are usually normal. | ||
*When associated with [[gastrointestinal bleed]], vital signs include: | *When associated with [[gastrointestinal bleed]], vital signs include: | ||
**[[Tachycardia]] | |||
===Skin=== | ===Skin=== | ||
*[[Pallor]] may observed in patients presenting with [[melena]] and [[hematemesis]]. | *[[Pallor]] may observed in patients presenting with [[melena]] and [[hematemesis]]. | ||
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===Heart=== | ===Heart=== | ||
*Chest tenderness may be present on palpation in case of ''[[Helicobacter pylori]]'' infection associated | *Chest tenderness may be present on palpation in case of ''[[Helicobacter pylori]]'' infection associated dyspepsia | ||
*S1 and S2 are normal | *S1 and S2 are normal | ||
===Abdomen=== | ===Abdomen=== | ||
*Epigastric [[tenderness]] may be present. | *Epigastric [[tenderness]] may be present. | ||
* | *Dyspepsia associated with [[Gastric ulcer|gastric ulcers]] may result in [[blood loss]] and the [[stool test]] may be guaiac-positive. | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
Revision as of 17:13, 24 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Physical Examination
Physical examination of patients with dyspepsia may include:
Appearance of the Patient
- Patients with dyspepsia 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 dyspepsia
- S1 and S2 are normal
Abdomen
- Epigastric tenderness may be present.
- Dyspepsia associated with gastric ulcers may result in blood loss and the stool test may be guaiac-positive.