Helicobacter pylori infection physical examination

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

Overview

Common physical examination findings associated with H. pylori infection include fatigue, abdominal pain, conjunctival pallor and abdominal tenderness.

Physical examination

Common physical examination findings associated with H. pylori infection may include:

Appearance of patient

Patients with H. pylori infection appear fatigued and in distress if associated with abdominal pain.

Vital signs

• Vital signs generally appear to be normal.
• If associated with GI bleed, Vital signs include:

• Tachycardia

Skin

• Pallor

HEENT

• On examination of eyes, conjunctival pallor may be seen.

Heart

• Chest tenderness may be present on palpation
• S1 and S2 are normal

Abdominal examination

• Abdominal tenderness
• No hepatosplenomegaly
• Normal bowel sounds

Rectal examination

• Rectal examination should be performed to diagnose other causes of GI bleeding.