Gastroparesis physical examination: Difference between revisions
Jump to navigation
Jump to search
Madhu Sigdel (talk | contribs) No edit summary |
Madhu Sigdel (talk | contribs) No edit summary |
||
| Line 22: | Line 22: | ||
* Skin examination of patients with severe gastroparesis show signs of dehydration like dry mouth, dry skin , shrunken eyes. | * Skin examination of patients with severe gastroparesis show signs of dehydration like dry mouth, dry skin , shrunken eyes. | ||
* [[Raynaud's phenomenon]] may be present in gastroparesis related to connective tissue disorder. | * [[Raynaud's phenomenon]] may be present in gastroparesis related to connective tissue disorder. | ||
===Neck=== | ===Neck=== | ||
*[[Thyromegaly]] / thyroid nodules tmay be present in hypothyroidism. | |||
*[[Thyromegaly]] / thyroid nodules | |||
===Lungs=== | ===Lungs=== | ||
*Fine/coarse [[crackles]] upon auscultation of the lung bases is a feature in connective tissue disease (eg. systemic sclerosis) related gastroparesis | |||
*Fine/coarse [[crackles]] upon auscultation of the lung bases | |||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
Revision as of 19:01, 5 February 2018
|
Gastroparesis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Gastroparesis physical examination On the Web |
|
American Roentgen Ray Society Images of Gastroparesis physical examination |
|
Risk calculators and risk factors for Gastroparesis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]
Overview
Patients with gastroparesis usually appear normal. Physical examination of patients with gastroparesis is usually remarkable for upper abdominal distension, epigastric or periumbilical tenderness, and no guarding or rigidity.
Physical Examination
- Physical examination of patients with gastroparesis is usually remarkable for:upper abdominal distension, epigastric or periumbilical tenderness, and no guarding and rigidity.
- The presence of other findings on physical examination depends on cause of gastroparesis.
Appearance of the Patient
- Patients with gastroparesis usually appear normal.
Vital Signs
- Low-grade fever may be present in postviral idiopathic gastroparesis. In minority of cases, patients have a preceeding history of upper respiratory infection or gastrointestinal infection.[1]
- Orthostatic hypotension may be present in diabetic gastroparesis.
Skin
- Skin examination of patients with severe gastroparesis show signs of dehydration like dry mouth, dry skin , shrunken eyes.
- Raynaud's phenomenon may be present in gastroparesis related to connective tissue disorder.
Neck
- Thyromegaly / thyroid nodules tmay be present in hypothyroidism.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases is a feature in connective tissue disease (eg. systemic sclerosis) related gastroparesis
Abdomen
- Abdominal distention
- Abdominal tenderness in the epigastric or periumbilical region
- Guarding and rigidity is absent.
- succussion splash can be elicited 3 hours or more after food intake, reflecting retention of gastric content.
Back
- Back examination of patients with [disease name] is usually normal.
OR
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary
- Genitourinary examination of patients with [disease name] is usually normal.
OR
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Neuromuscular examination of patients with [disease name] is usually normal.
OR
- 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
- Extremities examination of patients with [disease name] is usually normal.
OR
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity
References
- ↑ Parkman HP (2015). "Idiopathic gastroparesis". Gastroenterol Clin North Am. 44 (1): 59–68. doi:10.1016/j.gtc.2014.11.015. PMC 4324534. PMID 25667023.