Radiation proctitis physical examination: Difference between revisions

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{{Radiation proctitis}}
{{Radiation proctitis}}
{{CMG}} {{AE}}
{{CMG}} {{AE}} [[User:Rekha|Rekha, M.D.]], {{MIR}}
 
==Overview==
==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].
Patients with radiation proctitis may appear pale and [[Dehydration|dehydrated]]. Some patients may appear [[Fatigue|fatigued]] and in distress, associated with [[abdominal pain]].
 
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==
Physical examination of patients with [disease name] is usually normal.
Physical examination of patients with radiation proctitis include:<ref name="pmid8677984">{{cite journal| author=Babb RR| title=Radiation proctitis: a review. | journal=Am J Gastroenterol | year= 1996 | volume= 91 | issue= 7 | pages= 1309-11 | pmid=8677984 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8677984  }}</ref>
 
OR
 
Physical examination of patients with Radiation proctitis include:  
 
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].


===Appearance of the Patient===
===Appearance of the Patient===
*Patients with Radiation proctitis may appear dehydrated due to diarrhea.  
*Patients with radiation proctitis may appear dehydrated due to [[diarrhea]].


===Vital Signs===
===Vital Signs===


*Fever
*Fever.
*[[Tachycardia]]  
*[[Tachycardia]].
*Low blood pressure due to dehydration
*Low blood pressure due to [[dehydration]].


===Skin===
===Skin===


*Injection mark of IV drug use( HIV risk)  
*Injection mark of IV drug use( HIV risk).
 
<gallery widths="150">
File:UploadedImage-02.jpg|Description {{dermref}}
</gallery>


===HEENT===
===HEENT===
* HEENT examination of patients with [disease name] is usually normal.
* HEENT examination of patients with radiation proctitis 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===
* Neck examination of patients with [disease name] is usually normal.
*[[Lymphadenopathy]] to be checked (to rule out systemic infection such as [[Cytomegalovirus infection|CMV]], [[Tuberculosis|TB]], [[lymphogranuloma venereum]] caused ''[[Chlamydia trachomatis]]'' ).
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===
===Lungs===
* Pulmonary examination of patients with radiation proctitis is usually normal.
* Pulmonary examination of patients with radiation proctitis is usually normal.
===Heart===
===Heart===
*Normal S1 and S2
*Normal S1 and S2.
*Tachycardia
*[[Tachycardia]].


===Abdomen===
===Abdomen===
*[[Abdominal tenderness]] generalized  
*[[Abdominal tenderness]] generalized.
*Discharge of mucus or pus from your rectum
*Discharge of mucus or pus from your rectum.
*Bleeding from the rectum
*Bleeding from the rectum.
*Perirectal fistula, anal ulceration, and a fibrotic rectum with mucus and blood.
*Perirectal fistula, anal ulceration, and a fibrotic rectum with mucus and blood.


===Back===
===Back===
* Back examination of patients with [disease name] is usually normal
* Back examination of patients with radiation proctitis is usually normal.
===Genitourinary===
===Genitourinary===
* Genitourinary examination of patients with [disease name] is usually normal
* Genitourinary examination of patients with radiation proctitis is usually normal.
===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with [disease name] is usually normal.
* Neuromuscular examination of patients with radiation proctitis is usually normal.


*
*


===Extremities===
===Extremities===
* Extremities examination of patients with [disease name] is usually normal
* Extremities examination of patients with radiation proctitis is usually normal.
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 23:53, 6 November 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rekha, M.D., Mahshid Mir, M.D. [2]

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:[1]

Appearance of the Patient

  • Patients with radiation proctitis may appear dehydrated due to diarrhea.

Vital Signs

Skin

  • Injection mark of IV drug use( HIV risk).

HEENT

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

Neck

Lungs

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

Heart

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.

References

  1. ↑ Babb RR (1996). "Radiation proctitis: a review". Am J Gastroenterol. 91 (7): 1309–11. PMID 8677984.

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