Beriberi physical examination
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Beriberi physical examination On the Web |
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Risk calculators and risk factors for Beriberi physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]
Overview
There are no specific signs for Beriberi. Therefore, it should be suspected in light of the patient's symptoms and clinical setting. However, in advanced stages, the signs of cardiac dysfunction (wet beriberi) or peripheral neuropathy (dry beriberi) may be present.
Physical Examination
Beriberi itself has no specific examination signs. In advanced stages, the signs of related complications as cardiac dysfunction or peripheral neuritis are present. Therefore, for earlier diagnosis of Beriberi, clinical sense in light of the clinical setting and patient symptoms is required. The examination signs in advanced stages of beriberi may include:
Wet beriberi
The signs of heart failure may be present. These most commonly include:
- Lower limb edema
- Shift in the heart apex (enlarged cardiac chambers)
- Crepitations on pulmonary auscultation
- Hepatomegaly on abdominal examination
Dry beriberi
The signs of peripheral neuropathy may be present. These most commonly include:
- Exaggerated, then lost deep tendon reflexes
- Reduced muscle power and even paralysis in advanced stages
- Hyposthesia
- Wrist and ankle drop in advanced stages.