Pancreatic fistula physical examination: Difference between revisions
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*Abdominal distension due to fluid accumulation which can lead to ascites. | *Abdominal distension due to fluid accumulation which can lead to ascites. | ||
*The ascites have the following physical examination findings: | *The ascites have the following physical examination findings:<ref name="pmid24650171">{{cite journal| author=Larsen M, Kozarek R| title=Management of pancreatic ductal leaks and fistulae. | journal=J Gastroenterol Hepatol | year= 2014 | volume= 29 | issue= 7 | pages= 1360-70 | pmid=24650171 | doi=10.1111/jgh.12574 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24650171 }}</ref> | ||
**Fluid wave | **Fluid wave | ||
**Shifting dullness | **Shifting dullness | ||
**Dullness to percussion at the flanks | **Dullness to percussion at the flanks | ||
**Weight loss | |||
**Anorexia | |||
**Weakness and severe malnutrition | |||
* Vague abdominal pain | *Vague abdominal pain | ||
* Altered bowel habits which include: | *Altered bowel habits which include: | ||
** Hematemesis | **Hematemesis | ||
** Melena or hematochezia | **Melena or hematochezia | ||
===Back=== | ===Back=== | ||
Revision as of 15:02, 6 April 2021
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Pancreatic fistula Microchapters |
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Pancreatic fistula physical examination On the Web |
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American Roentgen Ray Society Images of Pancreatic fistula physical examination |
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Risk calculators and risk factors for Pancreatic fistula physical examination |
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 internal pancreatic fistulas is usually normal or asymptomatic, on the other hand patients with external pancreatic fistulas can present with drainage of fluid.
Appearance of the Patient
- Most of the patients with pancreatic fistulas usually appear normal, but some might show the following the features:
- Dehydration
- Weight loss from malnourishment
Vital Signs
- Patients with pancreatic fistulas may present with fever when there is an infection.
- Tachycardia with regular pulse may present in some patients.
Skin
- Skin examination of patients with pancreatic fistulas is usually normal.
HEENT
- HEENT examination of patients with pancreatic fistulas is usually normal.
Neck
- Neck examination of patients with pancreatic fistulas is usually normal.
Lungs
- Pulmonary examination of patients with pancreatic fistulas may shows the following due to large pleural effusions:[1]
- Dyspnea
- Cough
- Wheezing
- Pleuritic chest pain
- Reduced breath sounds
- Dullness to percussion
Heart
- Cardiovascular examination of patients with pancreatic fistulas is usually normal.
Abdomen
- Abdominal examination of patients with pancreatic fistulas is usually shows the following:
- Abdominal distension due to fluid accumulation which can lead to ascites.
- The ascites have the following physical examination findings:[2]
- Fluid wave
- Shifting dullness
- Dullness to percussion at the flanks
- Weight loss
- Anorexia
- Weakness and severe malnutrition
- Vague abdominal pain
- Altered bowel habits which include:
- Hematemesis
- Melena or hematochezia
Back
- Back examination of patients with pancreatic fistulas is usually normal.
Genitourinary
- Genitourinary examination of patients with pancreatic fistulas is usually normal.
Neuromuscular
- Neuromuscular examination of patients with pancreatic fistulas is usually normal.
Extremities
- Extremities examination of patients with pancreatic fistulas is usually normal.
References
- ↑ Fulcher AS, Capps GW, Turner MA (1999). "Thoracopancreatic fistula: clinical and imaging findings". J Comput Assist Tomogr. 23 (2): 181–7. doi:10.1097/00004728-199903000-00004. PMID 10096323.
- ↑ Larsen M, Kozarek R (2014). "Management of pancreatic ductal leaks and fistulae". J Gastroenterol Hepatol. 29 (7): 1360–70. doi:10.1111/jgh.12574. PMID 24650171.