Gastroparesis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness. | *Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness.<ref name="ParkmanHasler2004">{{cite journal|last1=Parkman|first1=Henry P.|last2=Hasler|first2=William L.|last3=Fisher|first3=Robert S.|title=American Gastroenterological Association technical review on the diagnosis and treatment of gastroparesis|journal=Gastroenterology|volume=127|issue=5|year=2004|pages=1592–1622|issn=00165085|doi=10.1053/j.gastro.2004.09.055}}</ref><ref name="pmid25667023">{{cite journal| author=Parkman HP| title=Idiopathic gastroparesis. | journal=Gastroenterol Clin North Am | year= 2015 | volume= 44 | issue= 1 | pages= 59-68 | pmid=25667023 | doi=10.1016/j.gtc.2014.11.015 | pmc=4324534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25667023 }}</ref> | ||
*The presence of other findings on physical examination depends on the various cause of gastroparesis. | *The presence of other findings on physical examination depends on the various cause of gastroparesis. | ||
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===Vital Signs=== | ===Vital Signs=== | ||
*Low-grade [[fever]] (in postviral idiopathic gastroparesis) | *Low-grade [[fever]] (in postviral idiopathic gastroparesis) | ||
*[[Orthostatic hypotension]] (in [[Diabetes mellitus|diabetic]] gastroparesis) | *[[Orthostatic hypotension]] (in [[Diabetes mellitus|diabetic]] gastroparesis) | ||
Revision as of 17:10, 6 February 2018
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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 epigastric distention and tenderness. The presence of other findings on physical examination depends on the various cause of gastroparesis.
Physical Examination
- Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness.[1][2]
- The presence of other findings on physical examination depends on the various cause of gastroparesis.
Appearance of the Patient
- Patients with gastroparesis usually appear normal.
Vital Signs
- Low-grade fever (in postviral idiopathic gastroparesis)
- Orthostatic hypotension (in diabetic gastroparesis)
Skin
- Dry skin (in severe dehydration)
- Raynaud's phenomenon (in connective tissue disorder)
HEENT
- Dry mouth (in severe dehydration)
- Shrunken eyes (in severe dehydration)
Neck
- Neck examination of patients with gastroparesis is usually normal.
Lungs
- Fine/coarse crackles upon auscultation of the lung bases (in connective tissue disorder)
Heart
- Cardiovascular examination of patients with gastroparesis is usually normal.
Abdomen
- Abdominal distention
- Abdominal tenderness in the epigastric or periumbilical region
- Succussion splash
- Guarding is absent.
Back
- Back examination of patients with gastroparesis is usually normal.
Genitourinary
- Genitourinary examination of patients with gastroparesis is usually normal.
Neuromuscular
- Abdominal muscle wall rigidity
Extremities
- Extremities examination of patients with gastroparesis is usually normal.
References
- ↑ Parkman, Henry P.; Hasler, William L.; Fisher, Robert S. (2004). "American Gastroenterological Association technical review on the diagnosis and treatment of gastroparesis". Gastroenterology. 127 (5): 1592–1622. doi:10.1053/j.gastro.2004.09.055. ISSN 0016-5085.
- ↑ 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.