Adenocarcinoma of the lung physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2] Sudarshana Datta, MD [3]

Overview

Common physical examination findings of adenocarcinoma of the lung include tachypnea, decreased breath sounds, and lethargy. Physical findings may be due to lung cancer itself or arise as a complication of paraneoplastic syndromes.

Physical Examination

General appearance

The patient may appear normal, lethargic, emaciated depending upon the stage of the disease.

Vital Signs

• Low-grade fever
• Decreased pO2
• Tachypnea
• Tachycardia
• Low blood pressure

Chest

• Decreased/absent breath sounds

Abdomen

• Hepatomegaly
• Ascites

Skeletal

• Bone pain
• Fractures

Skin

• Pallor
• Jaundice

HEENT

• Lymphadenopathy

CNS

• Cranial nerve palsies

Extremities

• Clubbing of fingers
• Swelling of hands and feet
• Weakness
• Hemiplegia

References

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