Tropical sprue physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Physical Examination

Physical examination findings in tropical sprue include:

General Appearance

Signs of dehydration may be present on examination, which include:

• Dry tongue
• Low blood pressure
• Reduced or no urine output; concentrated urine appears dark yellow
• Reduced skin turgor
• Sunken eyes

HEENT

• Pallor
• Angular stomatitis
• Glossitis
• Mouth ulcers

Extremities

• Peripheral edema due to protein deficiency

CNS

In cases with severe vitamin B12 deficiency features of sub-acute degeneration of spinal cord can be demonstrated.

• Paresthesias, lower extremities weakness, spasticity, ataxic gait
• Loss of vibration and position sense