Gastroparesis physical examination

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

Overview

Patients with gastroparesis usually appear normal. Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness.

Physical Examination

• Physical examination of patients with gastroparesis is usually remarkable for epigastric distention and tenderness.
• The presence of other findings on physical examination depends on the various cause of gastroparesis.

Appearance of the Patient

• Patients with gastroparesis usually appear normal.

Vital Signs

• Low-grade fever (in postviral idiopathic gastroparesis)
• Orthostatic hypotension (in diabetic gastroparesis)

Skin

• Dry skin (in severe dehydration)
• Raynaud's phenomenon (in connective tissue disorder)

HEENT

• Dry mouth (in severe dehydration)
• Shrunken eyes (in severe dehydration)

Neck

• Neck examination of patients with gastroparesis is usually normal.

Lungs

• Fine/coarse crackles upon auscultation of the lung bases (in connective tissue disorder)

Heart

• Cardiovascular examination of patients with gastroparesis is usually normal.

Abdomen

• Abdominal distention
• Abdominal tenderness in the epigastric or periumbilical region
• Succussion splash
• Guarding is absent.

Back

• Back examination of patients with gastroparesis is usually normal.

Genitourinary

• Genitourinary examination of patients with gastroparesis is usually normal.

Neuromuscular

• Abdominal muscle wall rigidity

Extremities

• Extremities examination of patients with gastroparesis is usually normal.