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. The presence of other findings on physical examination depends on the various cause of gastroparesis.

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.