Tropical sprue physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Physical Examination
Physical examination findings in tropical sprue include:
General Appearance
General Examination
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
Abdomen
- Abdominal examination is normal with no tenderness and organomegaly
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