Diffuse esophageal spasm physical examination

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

Overview

Patients with primary diffuse esophageal spasm usually appear normal. Physical examination of patients with DES is usually remarkable for findings related to secondary diseases.

Physical Examination

  • Physical examination of patients with DES is usually remarkable for presence of features related to secondary diseases.

Appearance of the Patient

  • Patients with primary DES usually appear normal.

Vital Signs

Skin

HEENT

Neck

Lungs

  • Asymmetric chest expansion / Decreased chest expansion
  • Lungs are hyperresonant in scleroderma.
  • Fine/coarse crackles upon auscultation of the lung bases/apices bilaterally seen in scleroderma.

Heart

Heart involvement in Chagas's cardiomyopathy are:

Abdomen

Extremities

References