Eosinophilic esophagitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ajay Gade MD[2]]

Overview

Physical examination of the patients with Eosinophilic esophagitis (EoE) is normal.

Physical Examination

Appearance of the Patient

• Patients with EoE usually appear normal.

Vital Signs

• Temperature-Normal
• Heart rate- regular pulse
• Respiratory rate- Normal
• Blood pressure- Normal

Skin

• Skin- Normal

HEENT

• Sclera- Normal
• Extra-ocular movements- normal
• Pupils reactive to light / reactive to accommodation
• Ophthalmoscopic exam is normal
• Hearing acuity normal
• Weber test-normal
• Rinne test-positive
• Ear canal- normal

Neck

• Normal- Jugualar venous pulse
• Carotid pulse- normal
• Lymphnodes-normal
• Thyroid-normal

Lungs

• Symmetric chest expansion
• Lungs are resonant
• Normal vesicular breath sounds heard
• Wheezing may be present
• Egophony absent
• Bronchophony absent
• Normal tactile fremitus

Heart

• PMI within 2 cm of the sternum (PMI)
• S1
• S2

Abdomen

• Abdominal examination is normal
• No organomegaly
• No bruits heard

Back

• Normal

Genitourinary

• Nomal

Neuromuscular

• Patient is usually oriented to persons, place, and time
• Normal mental status
• Glasgow coma scale is 15/ 15
• Clonus may be present
• Normal deep tendon reflexes
• Normal cranial nerve examination
• Normal Gait
• Normal cerebellar examination

Extremities

• Normal

References

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