What physical exam finding is indicative of GERD?

The physical exam finding indicative of gastroesophageal reflux disease (GERD) is epigastric tenderness. GERD is characterized by the backflow of stomach contents into the esophagus due to a malfunctioning lower esophageal sphincter. Patients often report symptoms such as heartburn or regurgitation, and upon physical examination, they may exhibit tenderness in the epigastric region, which is consistent with the irritation and inflammation of the esophagus due to acid exposure.

Other options like weight gain, fever, and jaundice are not specifically associated with GERD. While weight gain may occur in some individuals due to dietary choices or lifestyle factors, it is not a definitive indicator of GERD. Fever may suggest an infectious process or inflammation elsewhere in the body, and jaundice typically signifies liver or biliary tract issues, neither of which are direct signs of GERD. Thus, the presence of epigastric tenderness is the most relevant finding when evaluating a patient for GERD.