Hematemesis physical examination: Difference between revisions

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Revision as of 20:52, 12 February 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: John Fani Srour, M.D.

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Physical Examination

Skin

Signs of liver disease like telangiectasia.
Vesicular rash of the lips or the oral cavity may indicate esophagitis related to herpes simplex virus infection.
Facial flushing

Throat

Oral thrush in combination with dysphagia and/or odynophagia usually indicate candida esophagitis.
Signs of associated congential or inherited disease such as mucosal telangiectasias in hereditary hemorrhagic telangiectasia

Abdomen

Signs of liver disease (ascites, hepatomegaly).

References

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-Please help WikiDoc by adding content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
 {{Hematemesis}}
-{{CMG}} {{JFS}}
+{{CMG}}; {{JFS}}
-==Overview==
-==Signs==
+Please help WikiDoc by more adding content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
-* Signs of [[liver disease]] ([[ascites]], [[hepatomegaly]], [[telangiectasia]], etc)
+==Physical Examination==
-* Any esopho-gastric symptoms, such as [[nausea]], [[vomiting]], and [[epigastic]] tenderness may indicate peptic ulcer disease.
+===Skin===
-* Dark colored, tar like stools (a condition known as [[melena]]). This usually supports [[upper GI bleed]] as opposed to [[lower GI bleed]].
+* Signs of liver disease like [[telangiectasia]].
-* Any significant psychiatric history or symptoms of severe [[depression]] or [[psychosis]] may indicate iatrogenic upper GI bleed related to [[pill esophagitis]], foreign body ingestion, or  [[munchausen syndrome by proxy]] (a reason for recurrent hematemesis in children).
 * [[Vesicular rash]] of the lips or the [[oral cavity]] may indicate esophagitis related to [[herpes simplex virus]] infection.
+* Facial [[flushing]]
+===Throat===
 * [[Oral thrush]] in combination with [[dysphagia]] and/or [[odynophagia]] usually indicate [[candida esophagitis]].
-* Associated bleeding in other organs ([[skin]], [[mucosal bleed]], [[GU]], [[joints]], etc) indicates [[coagulopathy]] ([[ITP]], [[hemophila]], [[heparin]], [[von willebrand disease]], etc).
+* Signs of associated congential or inherited disease such as mucosal telangiectasias in hereditary hemorrhagic telangiectasia
-* Signs of associated congential or inherited disease such as mucosal telangiectasias in hereditary hemorrhagic telangiectasia, intestinal duplication, [[congenital cysts]], etc..
+===Abdomen===
-* Facial [[flushing]], intermittent [[diarrhea]], and [[abdominal pain]] indicate [[carcinoid syndrome]], a rare cause of upper GI bleed.
+* Signs of [[liver disease]] ([[ascites]], [[hepatomegaly]]).
-* Severe and diffuse upper GI ulcerations with chronic diarrhea usually indicate [[Zollinger Ellison syndrome]] or [[gastrenoma]].
 ==References==
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+[[Category:Emergency medicine]]
+[[Category:Intensive care medicine]]
+[[Category:Vomiting]]
+[[Category:Signs and symptoms]]
+[[Category:primary care]]
+[[Category:Needs overview]]
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