Radiation proctitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rekha, M.D., Mahshid Mir, M.D. [2]

Overview

Patients with radiation proctitis may appear pale and dehydrated. Some patients may appear fatigued and in distress, associated with abdominal pain.

Physical Examination

Physical examination of patients with radiation proctitis include:

Appearance of the Patient

• Patients with radiation proctitis may appear dehydrated due to diarrhea.

Vital Signs

• Fever.
• Tachycardia.
• Low blood pressure due to dehydration.

Skin

• Injection mark of IV drug use( HIV risk).

HEENT

• HEENT examination of patients with radiation proctitis is usually normal.

Neck

• Lymphadenopathy to be checked (to rule out systemic infection such as CMV, TB, lymphogranuloma venereum caused Chlamydia trachomatis ).

Lungs

• Pulmonary examination of patients with radiation proctitis is usually normal.

Heart

• Normal S1 and S2.
• Tachycardia.

Abdomen

• Abdominal tenderness generalized.
• Discharge of mucus or pus from your rectum.
• Bleeding from the rectum.
• Perirectal fistula, anal ulceration, and a fibrotic rectum with mucus and blood.

Back

• Back examination of patients with radiation proctitis is usually normal.

Genitourinary

• Genitourinary examination of patients with radiation proctitis is usually normal.

Neuromuscular

• Neuromuscular examination of patients with radiation proctitis is usually normal.

Extremities

• Extremities examination of patients with radiation proctitis is usually normal.