Heartburn physical examination: Difference between revisions
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===Scleroderma=== | ===Scleroderma=== | ||
*[[CREST syndrome]] presents with [[calcinosis]], [[Raynaud's phenomenon]], [[esophageal dysmotility]], [[sclerodactyly]], and [[telangiectasia]] | *[[CREST syndrome]] presents with [[calcinosis]], [[Raynaud's phenomenon]], [[esophageal dysmotility]], [[sclerodactyly]], and [[telangiectasia]]<ref name="pmid28613625">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=28613625 | doi= | pmc= | url= }} </ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 20:07, 4 September 2020
Heartburn Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2] Ahmed Elsaiey, MBBCH [3]
Overview
Patients with heartburn usually appear discomfortable, but the symptoms are commonly mild and frequent. Occasionally the patients may appear ill due to the pain in a emergency department setting. Common physical examination may include hoarseness of voice, laryngitis, otitis media, and lung wheezes.
Physical Examination
Gastroesophageal reflux disease
Appearance of the patient
Vital signs
- Hypertension spicking specially in patients already with pre-existing hypertension, due to the pain.[1]
HEENT
- Hoarseness of voice
- Laryngitis
- Otitis media
- Dental erosions
Lungs
Abdomen
- Epigastric tenderness, which may be severe and sometimes be mistaken with acute coronary syndrome or other causes of acute abdomen.
Scleroderma
- CREST syndrome presents with calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia[3]
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.
- ↑ "StatPearls". 2020. PMID 28613625.