Barrett's esophagus physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
Hamid Qazi (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Barrett's esophagus}} | {{Barrett's esophagus}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{HQ}} | ||
==Overview== | ==Overview== | ||
Patients with | ==Overview== | ||
Patients with Barrett's esophagus usually appear [[Ill feeling|ill]] due to the [[pain]]. Common physical examination include [[hoarseness]] of voice, [[laryngitis]], [[otitis media]], and [[Wheeze|lung wheezes]]. | |||
Common physical examination | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | * Patients with Barrett's esophagus usually appear ill and uncomfortable due to the retrosternal [[pain]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* [[Hypertension]] spicking specially in patients already with pre-existing hypertension.<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> | |||
*[[ | |||
===Skin=== | ===Skin=== | ||
| Line 42: | Line 18: | ||
* [[Pallor]] | * [[Pallor]] | ||
* Bruises | * Bruises | ||
===HEENT=== | ===HEENT=== | ||
* [[Hoarseness]] of voice | |||
* [[Laryngitis]] | |||
* [[Otitis media]] | |||
* [[ | * [[Erosion (dental)|Dental erosions]] | ||
*[[ | |||
*[[ | |||
* [[ | |||
===Neck=== | ===Neck=== | ||
| Line 76: | Line 33: | ||
===Lungs=== | ===Lungs=== | ||
* | * [[Wheeze|Wheezes]] | ||
* | * [[Bronchitis]] <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> | ||
===Heart=== | ===Heart=== | ||
| Line 102: | Line 51: | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant | *[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant | ||
*[[ | *[[Epigastric]] [[tenderness]] | ||
===Back=== | ===Back=== | ||
Revision as of 17:23, 4 February 2018
|
Barrett's Esophagus Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Barrett's esophagus physical examination On the Web |
|
American Roentgen Ray Society Images of Barrett's esophagus physical examination |
|
Risk calculators and risk factors for Barrett's esophagus physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Overview
Patients with Barrett's esophagus usually appear ill due to the pain. Common physical examination include hoarseness of voice, laryngitis, otitis media, and lung wheezes.
Appearance of the Patient
- Patients with Barrett's esophagus usually appear ill and uncomfortable due to the retrosternal pain.
Vital Signs
- Hypertension spicking specially in patients already with pre-existing hypertension.[1]
Skin
HEENT
- Hoarseness of voice
- Laryngitis
- Otitis media
- Dental erosions
Neck
- Jugular venous distension
- Carotid bruits may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
- Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
- Thyromegaly / thyroid nodules
- Hepatojugular reflux
Lungs
Heart
- Chest tenderness upon palpation
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S1
- S2
- S3
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen
- Abdominal distention
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Epigastric tenderness
Back
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is ___ / 15
- Clonus may be present
- Hyperreflexia / hyporeflexia / areflexia
- Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally/bilaterally
- ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
- Unilateral/bilateral upper/lower extremity weakness
- Unilateral/bilateral sensory loss in the upper/lower extremity
- Positive straight leg raise test
- Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
- Positive/negative Trendelenburg sign
- Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
- Normal finger-to-nose test / Dysmetria
- Absent/present dysdiadochokinesia (palm tapping test)
Extremities
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity
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.