Short bowel syndrome physical examination: Difference between revisions

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==Overview==
==Overview==
Patients with short bowel syndrome usually appear weak and tired. Physical examination of patients with short bowel syndrome is usually remarkable for signs of malabsorption, dehydration and abdominal tenderness.  
Patients with short bowel syndrome usually appear weak and tired. Physical examination of patients with short bowel syndrome is usually remarkable for signs of [[malabsorption]], [[dehydration]] and [[Tenderness (medicine)|abdominal tenderness]].  
==Physical Examination==
==Physical Examination==


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*Hyperactive [[bowel sound]]  
*Hyperactive [[bowel sound]]  
*[[Abdominal tenderness]]  
*[[Abdominal tenderness]]  
*[[Rebound tenderness]] (positive Blumberg sign)
*[[Rebound tenderness]] (positive [[Blumberg sign]])
*[[Abdominal guarding|Guarding]] may be present
*[[Abdominal guarding|Guarding]] may be present


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* [[Hyporeflexia]]
* [[Hyporeflexia]]
* [[Peripheral neuropathy]]
* [[Peripheral neuropathy]]
*Bilateral extremity weakness
*Bilateral extremity [[Muscle weakness|weakness]]


===Extremities===
===Extremities===

Revision as of 16:19, 8 December 2017

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

Overview

Patients with short bowel syndrome usually appear weak and tired. Physical examination of patients with short bowel syndrome is usually remarkable for signs of malabsorption, dehydration and abdominal tenderness.

Physical Examination

Appearance of the Patient

  • Patients with short bowel syndrome usually appear weak and tired.

Vital Signs

Skin

HEENT

Abdomen

Neuromuscular

Extremities

References

  1. Rodrigues, Gabriel; Seetharam, Prasad (2011). "Short bowel syndrome: A review of management options". Saudi Journal of Gastroenterology. 17 (4): 229. doi:10.4103/1319-3767.82573. ISSN 1319-3767.
  2. Wall, Elizabeth A. (2013). "An Overview of Short Bowel Syndrome Management: Adherence, Adaptation, and Practical Recommendations". Journal of the Academy of Nutrition and Dietetics. 113 (9): 1200–1208. doi:10.1016/j.jand.2013.05.001. ISSN 2212-2672.
  3. Eça, Rosário; Barbosa, Elisabete (2016). "Short bowel syndrome: treatment options". Journal of Coloproctology. 36 (4): 262–272. doi:10.1016/j.jcol.2016.07.002. ISSN 2237-9363.
  4. Misiakos EP, Macheras A, Kapetanakis T, Liakakos T (2007). "Short bowel syndrome: current medical and surgical trends". J. Clin. Gastroenterol. 41 (1): 5–18. doi:10.1097/01.mcg.0000212617.74337.e9. PMID 17198059.
  5. Matarese LE, O'Keefe SJ, Kandil HM, Bond G, Costa G, Abu-Elmagd K (2005). "Short bowel syndrome: clinical guidelines for nutrition management". Nutr Clin Pract. 20 (5): 493–502. doi:10.1177/0115426505020005493. PMID 16207689.
  6. DiBaise JK, Young RJ, Vanderhoof JA (2004). "Intestinal rehabilitation and the short bowel syndrome: part 1". Am. J. Gastroenterol. 99 (7): 1386–95. doi:10.1111/j.1572-0241.2004.30345.x. PMID 15233682.
  7. Kelly DG, Tappenden KA, Winkler MF (2014). "Short bowel syndrome: highlights of patient management, quality of life, and survival". JPEN J Parenter Enteral Nutr. 38 (4): 427–37. doi:10.1177/0148607113512678. PMID 24247092.

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