Radiation proctitis physical examination

Radiation proctitis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Patients with radiation proctitis may appear pale and dehydrated. Some patients may appear fatigued and in distress, associated with abdominal pain.

Physical Examination

Physical examination of patients with radiation proctitis include:"BMJ Best Practice".

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)

HEENT

• HEENT examination of patients with radiation proctitis is usually normal

Neck

• Lymphadenopathy to be checked (to rule out systemic infection such as CMV, TB, lymphogranuloma venerum caused Chlamydia trachomatis )

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 radiation proctitis is usually normal

Genitourinary

• Genitourinary examination of patients with radiation proctitis is usually normal

Neuromuscular

• Neuromuscular examination of patients with radiation proctitis is usually normal.

Extremities

• Extremities examination of patients with radiation proctitis is usually normal