Achalasia physical examination

	Achalasia Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Achalasia from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Ultrasound
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
Achalasia physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Achalasia 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 Achalasia physical examination
CDC on Achalasia physical examination
Achalasia physical examination in the news
Blogs on Achalasia physical examination
Directions to Hospitals Treating Achalasia
Risk calculators and risk factors for Achalasia physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Physical examination is usually non significant as the diagnosis is dependent on the symptoms and the radiological tests. Patients with achalasia usually appear calm and in no acute distress. Physical examination of patients with achalasia is usually remarkable for weight loss and oral cavity ulcers.

Physical Examination

Appearance

Patients with achalasia usually appear calm and in no acute distress.

General

Achalasia patients may have low BMI due to chronic weight loss.^[1]

Vital signs

Achalasia patients are usually vitally stable.

HEENT

Oral cavity examination may show ulcers due to food regurgitation.^[2]

Chest

Lungs usually show clear vesicular breathing sounds, with equal air entry.

Abdomen

Abdomen is usually lax, non tender, and with no masses

Heart

On auscultation, the heart has normal S1, S2, with no rubs, gallops, nor murmers.

Extremities

Extremities may show emaciation especially in chronic cases.

Neurologic

Patient is usually oriented to time, person, and place with good motor and sensory functions.

References

↑ Kempf J, Beckmann K, Kook PH (2014). "Achalasia-like disease with esophageal pressurization in a myasthenic dog". J. Vet. Intern. Med. 28 (2): 661–5. doi:10.1111/jvim.12329. PMC 4857995. PMID 24612067.
↑ Stone ML, Kilic A, Jones DR, Lau CL, Kozower BD (2012). "A diagnostic consideration for all ages: pseudoachalasia in a 22-year-old male". Ann. Thorac. Surg. 93 (1): e11–2. doi:10.1016/j.athoracsur.2011.07.064. PMC 3278770. PMID 22186482.

Template:WS Template:WH

[pmid24612067-1] Kempf J, Beckmann K, Kook PH (2014). "Achalasia-like disease with esophageal pressurization in a myasthenic dog". J. Vet. Intern. Med. 28 (2): 661–5. doi:10.1111/jvim.12329. PMC 4857995. PMID 24612067.

[pmid22186482-2] Stone ML, Kilic A, Jones DR, Lau CL, Kozower BD (2012). "A diagnostic consideration for all ages: pseudoachalasia in a 22-year-old male". Ann. Thorac. Surg. 93 (1): e11–2. doi:10.1016/j.athoracsur.2011.07.064. PMC 3278770. PMID 22186482.

[1]

[2]