Plummer-Vinson syndrome physical examination

Plummer-Vinson syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Plummer-Vinson syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
Echocardiography and Ultrasound
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Plummer-Vinson syndrome physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Plummer-Vinson syndrome physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Plummer-Vinson syndrome physical examination
CDC on Plummer-Vinson syndrome physical examination
Plummer-Vinson syndrome physical examination in the news
Blogs on Plummer-Vinson syndrome physical examination
Directions to Hospitals Treating Plummer-Vinson syndrome
Risk calculators and risk factors for Plummer-Vinson syndrome physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

• Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.

Physical Examination

Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other [findings)] on physical examination include:

Appearance of the Patient

• Patients with Plummer-Vinson syndrome usually appear fatigued.

Vital Signs

• Hypothermia may be present
• Tachycardia
• Normal to low blood pressure with normal pulse pressure

Skin

• Pale skin color (Pallor)
• Blue-tinged or very pale whites of eyes

HEENT

• Stomatitis
• Glossitis
• Cheilitis
• Atrophy of lingual papillae
• 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.

Abdomen

• Splenomegaly (33%)
• Achlorhydria

Neuromuscular

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

Extremities

• Koilonychia
• Brittle nails