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 physical examination findings of ischemic colitis are as foloows:[1][2]
- Abdomen reveals mild to moderate tenderness over the affected area of the colon.
- Abdominal pain in 77% of patients
- Abdominal tenderness in 21% of patients
- Rectal examination shows heme-positive stools.
- Severe ischemia with transmural infarction and necrosis.
- Marked abdominal tenderness with peritoneal signs.
References
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.
- ↑ 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.