Plummer-Vinson syndrome physical examination: Difference between revisions

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===Skin===
===Skin===
* Pale skin color ([[Pallor]])
*Pale skin color ([[Pallor]])


===HEENT===
===HEENT===
* WNL
Upper esophageal web or strictures on laryngoscopy


===Neck===
===Neck===
*WNL
Odynophagia
 
===Lungs===
* WNL


===Heart===
===Heart===
*S1/S2 normal. Additional heart sound (eg S3, murmur) may be heard if patient is in failure.
*S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure.
 
===Abdomen===
*WNL
 
===Back===
*WNL
 
===Genitourinary===
*WNL


===Neuromuscular===
===Neuromuscular===
*Patient is usually oriented to persons, place, and time.
*Patient is usually oriented to time, place and person.


===Extremities===
===Extremities===
*Kolinychia
*Koilonychia
 
 


==References==
==References==

Revision as of 16:24, 3 November 2017

Plummer-Vinson syndrome Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Physical Examination

The condition is associated with koilonychia, glossitis, cheilitis, and splenomegaly.

  • Stomatitis
  • Glossitis
  • Atrophy of lingual papillae
  • Achlorhydria
  • Brittle fingernails
  • Splenomegaly (33%)
  • Anemia

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 [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
  • The presence of [finding(s)] on physical examination is diagnostic of [disease name].
  • The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Appearance of the Patient

  • Patients with Plummer-Vinson syndrome usually appear fatigued.

Vital Signs

  • Hypothermia may be present
  • Tachycardia
  • Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
  • Low/normal blood pressure with normal pulse pressure

Skin

HEENT

Upper esophageal web or strictures on laryngoscopy

Neck

Odynophagia

Heart

  • S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure.

Neuromuscular

  • Patient is usually oriented to time, place and person.

Extremities

  • Koilonychia

References