]> 2026-07-31T07:28:19+00:00 WBR0176 0 en Ascites Menetrier's disease is a protein-losing gastropathy that is associated with hypoalbuminemia. Signs of edema, such as peripheral pitting edema and ascites, are often present on physical examination. Dysarthria Menetrier's disease is not usually associated with dysarthria on physical examination. Dysarthria is a speech impairment due to involvement of the motor nervous system. Dysarthria may be observed among patients with a history of stroke. Hemorrhoids Hemorrhoids may be observed among patients with portal hypertension due to back-up of blood flow in the portal circulation. Splenomegaly Splenomegaly may be observed among patients with hematological disorders and portal hypertension due to back-up of blood flow in the portal circulation. Nystagmus Nystagmus may be a sign of eye disease, but is also a common ophthalmological manifestation of inner ear and neurological diseases. Pathophysiology A 53-year-old man presents to the physician's office with complaints of persistent vague abdominal pain and nausea. He states that his pain is not associated with food intake or defecation. The patient's past medical history is only remarkable for hypercholesterolemia. He currently receives daily atorvastatin for the past 10 years and reports no known drug or food allergy. The patient then undergoes upper GI endoscopy and is told he has significant hypertrophy of the gastric folds with an alkaline gastric pH. At initial presentation, which physical examination finding is most likely consistent with this patient's condition? A Gastrointestinal 2020-10-27T23:36:42Z 2459150.4838194 WBR0176