Chronic diarrhea physical examination

Chronic diarrhea Microchapters
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Case #1

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]

Overview

Some of the physical findings of chronic diarrhea are orthostatic hypotension, dehydration, neuropathy, muscle wasting, edema, malnutrition, urticaria pigmentosa, dermatographism, pinch purpura, macroglossia, hyperpigmentation, addison’s disease, migratory necrotizing erythema.

Physical examination

Appearance of the patient

• Patient appears ill, lethargic and dehydrated

Vital Signs

• Orthostasis

• hypotension
• Fever

Skin

• Urticaria pigmentosa

• dermatographism

• Hyperpigmentation seen with addison disease

• dermatitis herpetiformis seen with celiac disease

• Migratory necrotizing erythema seen with glucagonoma

• flushing seen with carcinoid syndrome

Neck

• Thyroid nodule
• lymphadenopathy in case of hyperthyroidism

Lungs

• wheezing in carcinoid syndrome

Heart

• Heart murmur in Hyperthyroidism and carcinoid syndrome

Abdomen

• Hepatomegaly,

• Abdominal bruit

Genitourinary

• Anal sphincter weakness

Extremities

• Tremor

• Lid lag seen with hyperthyroidism

Neuromuscular

• Arthritis

References

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