Toxic megacolon physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Patients with toxic megacolon usually appear ill and dehydrated. Physical examination of patients with toxic megacolon is usually remarkable for abdominal pain and tenderness, abdominal distention, decreased bowel sounds.[1]
Appearance of the Patient
- Patients with toxic megacolon usually appear ill.
Vital Signs
- High-grade fever (usually temperature >101.5°F (38.6°C))
- Tachycardia with regular pulse ( usually heart rate >120 beats/min)
- Low blood pressure with normal pulse pressure
Skin
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Description (Adapted from Dermatology Atlas)
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Description (Adapted from Dermatology Atlas)
Abdomen
- Abdominal distention
- Abdominal tenderness
- Guarding may be present
Neuromuscular
- Altered mental status
References
- ↑ Gan, S. Ian; Beck, P. L. (2003). "A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management". The American Journal of Gastroenterology. 98 (11): 2363–2371. doi:10.1111/j.1572-0241.2003.07696.x. ISSN 0002-9270.