Ischemic colitis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Ischemic colitis is characterized by abdominal pain which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness.
Physical Examination
The sensitivity of findings on physical examination include the following:[1]
- Abdominal pain in 77% of patients
- Abdominal tenderness in 21% of patients
Signs
- Clinical examination of the abdomen reveals mild to moderate tenderness over the affected area of the colon.
- Rectal examination shows heme-positive stools.
- In cases of severe ischemia with transmural infarction and necrosis, marked tenderness with peritoneal signs may be present on physical examination accompanied by metabolic acidosis and septic shock.
References
- ↑ Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F (2006). "Ischemic colitis". Am. J. Surg. 192 (5): 679–84. doi:10.1016/j.amjsurg.2005.09.018. PMID 17071206.