Plummer-Vinson syndrome physical examination

Plummer-Vinson syndrome Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Physical Examination

The condition is associated with koilonychia, glossitis, cheilitis, and splenomegaly.

• Stomatitis
• Glossitis
• Atrophy of lingual papillae
• Achlorhydria
• Brittle fingernails
• Splenomegaly (33%)
• Anemia

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

• Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.

Appearance of the Patient

• Patients with Plummer-Vinson syndrome usually appear fatigued.

Vital Signs

• Hypothermia may be present
• Tachycardia
• Normal to low blood pressure with normal pulse pressure

Skin

• Pale skin color (Pallor)
• Blue-tinged or very pale whites of eyes

HEENT

• Stomatitis
• Glossitis
• Atrophy of lingual papillae
• Upper esophageal web or strictures on laryngoscopy

Neck

Odynophagia

Heart

• S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure.

Abdomen

• Splenomegaly (33%)
• Achlorhydria

Neuromuscular

• Patient is usually oriented to time, place and person.

Extremities

• Koilonychia
• Brittle nails