Hematemesis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: John Fani Srour, M.D.

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Physical Examination

Skin

• Signs of liver disease like telangiectasia.
• Vesicular rash of the lips or the oral cavity may indicate esophagitis related to herpes simplex virus infection.
• Facial flushing

Throat

• Oral thrush in combination with dysphagia and/or odynophagia usually indicate candida esophagitis.
• Signs of associated congential or inherited disease such as mucosal telangiectasias in hereditary hemorrhagic telangiectasia

Abdomen

• Signs of liver disease (ascites, hepatomegaly).