Esophagitis physical examination

The physical examination usually is not helpful in confirming the diagnosis of uncomplicated esophagitis. However, the examination may reveal other potential sources of chest or abdominal pain.

The physical examination of the esophagitis is following:^[1][2]

• Appearance is usually normal in patients with esophagitis, but patients with infectious esophagitis are usually cachectic given the immunocompromised status.

• Temperature- Hyperthermia in patients with infectious esophagitis.
• Heart rate- Tachycardia in patients with infectious esophagitis.
• Respiratory rate- Normal
• Blood pressure- Normal range 120/80-140/90

• Skin- Normal

• Sclera- Anicteric
• 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

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

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

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

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

• Normal

• Nomal

• 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

• Normal

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