Tropical sprue physical examination

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

Overview

Physical Examination

Physical examination findings in tropical sprue include:

General Appearance

General Examination

Signs of dehydration may be present on examination, which include:

  • Dry tongue
  • Low blood pressure
  • Reduced or no urine output; concentrated urine appears dark yellow
  • Reduced skin turgor
  • Sunken eyes

HEENT

  • Pallor
  • Angular stomatitis
  • Glossitis
  • Mouth ulcers

Extremities

  • Peripheral edema due to protein deficiency

Abdomen

  • Abdominal examination is normal with no tenderness and organomegaly

CNS

In cases with severe vitamin B12 deficiency features of sub-acute degeneration of spinal cord can be demonstrated.

References

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