Esophageal stricture physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with esophageal stricture can usually appear normal. [[Cachexia]] and [[pallor]] are notable in patients with | Patients with esophageal stricture can usually appear normal. [[Cachexia]] and [[pallor]] are notable in patients with esophageal stricture due to [[malignant]] causes. | ||
==Physical Examination== | ==Physical Examination== | ||
Esophageal stricture has many causes. Physical examination due to different causes include: | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with esophageal stricture due to [[malignant]] causes usually appear cachectic and pale | ||
===Vital Signs=== | ===Vital Signs=== | ||
| Line 16: | Line 16: | ||
===Skin=== | ===Skin=== | ||
* [[Bullous]] skin [[eruption]]<nowiki/>s in [[epidermolysis bullosa dystrophica]] as a cause of | * [[Bullous]] skin [[eruption]]<nowiki/>s in [[epidermolysis bullosa dystrophica]] as a cause of esophageal stricture <ref name="pmid12853664">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref> | ||
* [[Pallor]] in [[malignant]] causes | * [[Pallor]] in [[malignant]] causes | ||
===HEENT=== | ===HEENT=== | ||
Esophageal stricture due to [[gastroesophageal reflux disease]]: | |||
* Hoarse voice | * Hoarse voice | ||
* [[laryngeal edema]] and [[erythema]]<ref name="pmid186251382">{{cite journal |vauthors=Vaezi MF |title=Laryngeal manifestations of gastroesophageal reflux disease |journal=Curr Gastroenterol Rep |volume=10 |issue=3 |pages=271–7 |year=2008 |pmid=18625138 |doi= |url=}}</ref> | * [[laryngeal edema]] and [[erythema]]<ref name="pmid186251382">{{cite journal |vauthors=Vaezi MF |title=Laryngeal manifestations of gastroesophageal reflux disease |journal=Curr Gastroenterol Rep |volume=10 |issue=3 |pages=271–7 |year=2008 |pmid=18625138 |doi= |url=}}</ref> | ||
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===Neck=== | ===Neck=== | ||
* Left [[supraclavicular]] [[lymphadenopathy]] (Virchow node) due to [[malignant]] causes of | * Left [[supraclavicular]] [[lymphadenopathy]] (Virchow node) due to [[malignant]] causes of esophageal stricture<ref name="pmid16200126">{{cite journal |vauthors=McLoughlin JM |title=Adenocarcinoma of the stomach: a review |journal=Proc (Bayl Univ Med Cent) |volume=17 |issue=4 |pages=391–9 |year=2004 |pmid=16200126 |pmc=1200678 |doi= |url=}}</ref> | ||
===Lung=== | ===Lung=== | ||
Revision as of 19:52, 22 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]
Overview
Patients with esophageal stricture can usually appear normal. Cachexia and pallor are notable in patients with esophageal stricture due to malignant causes.
Physical Examination
Esophageal stricture has many causes. Physical examination due to different causes include:
Appearance of the Patient
- Patients with esophageal stricture due to malignant causes usually appear cachectic and pale
Vital Signs
- Hypertension spicking specially in patients already with hypertension in gastroesophageal reflux disease[1]
Skin
- Bullous skin eruptions in epidermolysis bullosa dystrophica as a cause of esophageal stricture [2]
- Pallor in malignant causes
HEENT
Esophageal stricture due to gastroesophageal reflux disease:
- Hoarse voice
- laryngeal edema and erythema[3]
- Dental erosions
Neck
- Left supraclavicular lymphadenopathy (Virchow node) due to malignant causes of esophageal stricture[4]
Lung
- Wheezing may be present
Abdomen
References
- ↑ Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.
- ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
- ↑ Vaezi MF (2008). "Laryngeal manifestations of gastroesophageal reflux disease". Curr Gastroenterol Rep. 10 (3): 271–7. PMID 18625138.
- ↑ McLoughlin JM (2004). "Adenocarcinoma of the stomach: a review". Proc (Bayl Univ Med Cent). 17 (4): 391–9. PMC 1200678. PMID 16200126.