Dyspepsia 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 of patients with dyspepsia may include:
Appearance of the Patient
- Patients with dyspepsia may appear pale. Some patients may appear fatigued and in distress, is associated with abdominal pain.
Vital Signs
- Vital signs are usually normal.
- When associated with gastrointestinal bleed, vital signs include:
Skin
- Pallor may observed in patients presenting with melena and hematemesis.
HEENT
- On examination of the eyes, conjunctival pallor may be observed.
Lungs
- Normal vesicular breath sounds are observed.
- Halitosis may be observed in case of chronic gastritis.
Heart
- Chest tenderness may be present on palpation in case of Helicobacter pylori infection associated dyspepsia
- S1 and S2 are normal
Abdomen
- Epigastric tenderness may be present.
- Dyspepsia associated with gastric ulcers may result in blood loss and the stool test may be guaiac-positive.