Gastrointestinal perforation physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Gastrointestinal perforation Microchapters |
Differentiating gastrointestinal perforation from other diseases |
---|
Diagnosis |
Treatment |
Case Studies |
Gastrointestinal perforation physical examination On the Web |
American Roentgen Ray Society Images of Gastrointestinal perforation physical examination |
Gastrointestinal perforation physical examination in the news |
Risk calculators and risk factors for Gastrointestinal perforation physical examination |
Overview
Gastrointestinal perforation physical examination
Appearance of the Patient
- Patients may appear tired, weak, diaphoretic and anxious especially if sepsis developed.
- Immunocompromised patients may appear quite well at first.
Vital Signs
- Tachycardia
- Rapid weak pulse
- Hypotension occurs due to fluid contraction
Skin
Head
- Scleral icterus in case of liver failure
Lungs
Heart
- Chest tenderness in esophageal perforation patients
Abdomen
- Abdominal distention
- Abdominal tenderness
- A palpable abdominal mass in the lower abdominal quadrant especially with perforated colon
- Guarding may be present
- Cutaneous fistula may be present