Radiation proctitis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
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 Radiation proctitis include:
Appearance of the Patient
- Patients with Radiation proctitis may appear dehydrated due to diarrhea.
Vital Signs
- Fever
- Tachycardia
- Low blood pressure due to dehydration
Skin
- Injection mark of IV drug use( HIV risk)
-
Description (Adapted from Dermatology Atlas)
HEENT
- HEENT examination of patients with [disease name] is usually normal.
OR
- Abnormalities of the head/hair may include ___
- Evidence of trauma
- Icteric sclera
- Nystagmus
- Extra-ocular movements may be abnormal
- Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
- Ophthalmoscopic exam may be abnormal with findings of ___
- Hearing acuity may be reduced
- Weber test may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
- Rinne test may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
- Exudate from the ear canal
- Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
- Inflamed nares / congested nares
- Purulent exudate from the nares
- Facial tenderness
- Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
Neck
- Neck examination of patients with [disease name] is usually normal.
OR
- Jugular venous distension
- Carotid bruits may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
- Lymphadenopathy (to rule out systemic infection such as CMV, TB, lymphogranuloma venerum caused Chlamydia trachomatis )
- Thyromegaly / thyroid nodules
- Hepatojugular reflux
Lungs
- Pulmonary examination of patients with radiation proctitis is usually normal.
Heart
- Normal S1 and S2
- Tachycardia
Abdomen
- Abdominal tenderness generalized
- Discharge of mucus or pus from your rectum
- Bleeding from the rectum
- Perirectal fistula, anal ulceration, and a fibrotic rectum with mucus and blood.
Back
- Back examination of patients with [disease name] is usually normal
Genitourinary
- Genitourinary examination of patients with [disease name] is usually normal
Neuromuscular
- Neuromuscular examination of patients with [disease name] is usually normal.
Extremities
- Extremities examination of patients with [disease name] is usually normal