Hiatus hernia physical examination: Difference between revisions

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{{Hiatus hernia}}
{{Hiatus hernia}}


{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{AEL}}  


==Overview==
==Overview==
Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis. In some cases, hiatus hernia may develop GERD. Patients with GERD usually appear [[Ill feeling|ill]] due to the [[pain]]. Common physical examination include [[hoarseness]] of voice, [[laryngitis]], [[otitis media]], and [[Wheeze|lung wheezes]].
Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis. In some cases, hiatus hernia may develop [[gastroesophageal reflux disease]] (GERD). Patients with GERD usually appear [[Ill feeling|ill]] due to the [[pain]]. Common physical examination include [[hoarseness]] of voice, [[laryngitis]], [[otitis media]], and [[Wheeze|lung wheezes]].


==Physical Examination==
==Physical Examination==
* Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis.  
* Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis.  
* In some cases, hiatus hernia may develop to GERD at which the physical examination is usually associated with the following:  
* In some cases, hiatus hernia may develop to [[gastroesophageal reflux disease]] (GERD) at which the physical examination is usually associated with the following:  
===Appearance of the patient===
===Appearance of the patient===
* Patients with GERD usually appear ill and uncomfortable due to the retrosternal [[pain]].
* Patients with GERD usually appear ill and uncomfortable due to the retrosternal [[pain]].
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=== Vital signs ===
=== Vital signs ===
* [[Hypertension]] spicking specially in patients already with pre-existing hypertension.<ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume=  | issue=  | pages=  | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574  }}</ref>
* [[Hypertension]] spicking specially in patients already with pre-existing hypertension.<ref name="pmid28961574">{{cite journal| author=Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG| title=The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension. | journal=J Clin Gastroenterol | year= 2017 | volume=  | issue=  | pages=  | pmid=28961574 | doi=10.1097/MCG.0000000000000933 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28961574  }}</ref>
=== Skin[edit | edit source] ===
* Skin examination of patients with hiatus hernia is usually normal.


===HEENT===
===HEENT===
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* [[Otitis media]]   
* [[Otitis media]]   
* [[Erosion (dental)|Dental erosions]]   
* [[Erosion (dental)|Dental erosions]]   
=== Neck[edit | edit source] ===
* Neck examination of patients with hiatus hernia is usually normal.


===Lungs===
===Lungs===
* [[Wheeze|Wheezes]]  
* [[Wheeze|Wheezes]]  
* [[Bronchitis]] <ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632  }}</ref>
* [[Bronchitis]] <ref name="pmid23452632">{{cite journal| author=Hom C, Vaezi MF| title=Extraesophageal manifestations of gastroesophageal reflux disease. | journal=Gastroenterol Clin North Am | year= 2013 | volume= 42 | issue= 1 | pages= 71-91 | pmid=23452632 | doi=10.1016/j.gtc.2012.11.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23452632  }}</ref>
=== Heart ===
* Cardiovascular examination of patients with f is usually normal.


=== Abdomen ===
=== Abdomen ===
* [[Epigastric]] [[tenderness]]
* [[Epigastric]] [[tenderness]]
=== Neuromuscular ===
* Neuromuscular examination of patients with hiatus hernia is usually normal.


==References==
==References==


{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]
 
[[Category:Surgery]]
[[Category:Gastroenterology]]
[[Category:Up-To-Date]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Gastroenterology]]
[[Category:Primary care]]
[[Category:Surgery]]

Latest revision as of 22:10, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis. In some cases, hiatus hernia may develop gastroesophageal reflux disease (GERD). Patients with GERD usually appear ill due to the pain. Common physical examination include hoarseness of voice, laryngitisotitis media, and lung wheezes.

Physical Examination

  • Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis.
  • In some cases, hiatus hernia may develop to gastroesophageal reflux disease (GERD) at which the physical examination is usually associated with the following:

Appearance of the patient

  • Patients with GERD usually appear ill and uncomfortable due to the retrosternal pain.

Vital signs

  • Hypertension spicking specially in patients already with pre-existing hypertension.[1]

Skin[edit | edit source]

  • Skin examination of patients with hiatus hernia is usually normal.

HEENT

Neck[edit | edit source]

  • Neck examination of patients with hiatus hernia is usually normal.

Lungs

Heart

  • Cardiovascular examination of patients with f is usually normal.

Abdomen

Neuromuscular

  • Neuromuscular examination of patients with hiatus hernia is usually normal.

References

  1. Li ZT, Ji F, Han XW, Wang L, Yue YQ, Wang ZG (2017). "The Role of Gastroesophageal Reflux in Provoking High Blood Pressure Episodes in Patients With Hypertension". J Clin Gastroenterol. doi:10.1097/MCG.0000000000000933. PMID 28961574.
  2. Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.