Ischemic colitis physical examination

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

Overview

Ischemic colitis is characterized by abdominal pain which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness, heme-positive rectal exam, and rebound tenderness if peritonitis is present.

Physical Examination

  • The physical examination findings of ischemic colitis are as follows:[1][2]
  • Physical examination of patients with ischemic colitis is usually remarkable for abdominal tenderness, heme-positive rectal exam, and rebound tenderness if peritonitis is present.

Appearance of the Patient

  • Patients with ischemic colitis usually appear in apparent distress due to pain

Vital Signs

Skin

  • Skin examination of patients with ischemic colitis is usually normal

HEENT

  • HEENT examination of patients with ischemic colitis is usually normal

Neck

  • Neck examination of patients with ischemic colitis is usually normal

Lungs

  • Pulmonary examination of patients with ischemic colitis is usually normal

Heart

  • Cardiovascular examination of patients with ischemic colitis is usually normal

Abdomen

Back

  • Back examination of patients with ischemic colitis is usually normal

Genitourinary

  • Genitourinary examination of patients with ischemic colitis is usually normal

Neuromuscular

  • Neuromuscular examination of patients with ischemic colitis is usually normal

Extremities

  • Extermities examination of patients with ischemic colitis is usually normal

References

  1. Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. ISSN 1007-9327. doi:10.3748/wjg.14.7302. 
  2. Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F (2006). "Ischemic colitis". Am. J. Surg. 192 (5): 679–84. PMID 17071206. doi:10.1016/j.amjsurg.2005.09.018. 

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