Barrett's esophagus 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] Amresh Kumar MD [3]

Overview

Patients with Barrett's esophagus usually appear ill due to the pain. Common physical examination include hoarseness of voice, laryngitis, otitis media, and lung wheezes.

Physical Examination

Main physical examination findings regarding Barrett's esophagus include:^[1]^[2]

Appearance of the Patient

Patients with Barrett's esophagus usually appear ill and uncomfortable due to the retrosternal pain.

Vital Signs

Hypertension spicking specially in patients already with pre-existing hypertension.

Skin

Normal

HEENT

Neck

Normal

Lungs

Wheezes
Bronchitis ^[3]

Heart

S1
S2
No rubs or gallops

Abdomen

Abdominal distention
Abdominal tenderness in the right/left upper/lower abdominal quadrant
Epigastric tenderness

Back

Normal

Genitourinary

Normal

Neuromuscular

Normal

Extremities

Normal

References

↑ Richter JE (1996). "Typical and atypical presentations of gastroesophageal reflux disease. The role of esophageal testing in diagnosis and management". Gastroenterol. Clin. North Am. 25 (1): 75–102. PMID 8682579. Unknown parameter |month= ignored (help)
↑ Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.
↑ Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.

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[pmid8682579-1] Richter JE (1996). "Typical and atypical presentations of gastroesophageal reflux disease. The role of esophageal testing in diagnosis and management". Gastroenterol. Clin. North Am. 25 (1): 75–102. PMID 8682579. Unknown parameter |month= ignored (help)

[pmid28961574-2] Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.

[pmid23452632-3] Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.

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