Pancreatic fistula physical examination

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Pancreatic fistula Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pancreatic fistula from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

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Case #1

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

Overview

Patients with pancreatic fistulas usually appear normal and in some they appear malnourished. Physical examination of patients with pancreatic fistulas is usually remarkable for infection, dyspnea, pleuritic chest pain and ascites.

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

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

References

  1. Pratt WB, Callery MP, Vollmer CM (2009). "The latent presentation of pancreatic fistulas". Br J Surg. 96 (6): 641–9. doi:10.1002/bjs.6614. PMID 19434658.
  2. 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.
  3. 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.
  4. Pratt WB, Callery MP, Vollmer CM (2009). "The latent presentation of pancreatic fistulas". Br J Surg. 96 (6): 641–9. doi:10.1002/bjs.6614. PMID 19434658.

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