Esophageal stricture physical examination

Esophageal stricture Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: {{ma}]

Overview

Patients with esophageal cancer can usually appear normal. Cachexia and pallor are notable in patients with esophageal stricture due to malignant causes.

Physical Examination

Esophageal stricture has many causes. Physical examination due to different causes include:

Appearance of the Patient

• Patients with esophageal stricture due to malignant causes usually appear cachectic and pale

Vital Signs

• Hypertension spicking specially in patients already with hypertension in gastroesophageal reflux disease

Skin

• Bullous skin eruptions in epidermolysis bullosa dystrophica as a cause of esophageal stricture

• 
  Epidermolysis bullosa dystrofic dominant. Adapted from Dermatology Atlas.
• 
  Epidermolysis bullosa dystrofic dominant. Adapted from Dermatology Atlas.

• Pallor in malignant causes

HEENT

Esophageal stricture due to gastroesophageal reflux disease:

• Hoarse voice
• Oropharyngeal erythema
• Dental erosions

Neck

• Left supraclavicular lymphadenopathy (Virchow node) due to malignant causes of esophageal stricture

Lung

• Wheezing may be present

Abdomen

• Epigastric tenderness due to gastroesophageal reflux
• Hepatomegaly in metastatic esophageal cancer