Beriberi physical examination: Difference between revisions

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==Overview==
==Overview==
There are no specific signs for Beriberi. Therefore, it should be suspected in light of the patient's symptoms and clinical setting.
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==
==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.  
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 ===
 
* Exaggerated, then lost deep tendon reflexes
*


==References==
==References==

Revision as of 17:35, 12 November 2019

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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

  • Exaggerated, then lost deep tendon reflexes

References


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