Pulmonary nodule physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Patients with pulmonary nodule usually are well-appearing. Physical examination of patients with pulmonary nodule usually has no remarkable findings. In some cases, solitary pulmonary nodule may show findings associated with the underlying condition.
Physical Examination
- The following physical examination findings may be present among patients with pulmonary nodule:[1]
Appearance of the Patient
Vital Signs
- Decreased SPO2
- Tachypnea
- Tachycardia
Skin
HEENT
Neck
- Neck examination of patients with pulmonary nodule is usually normal.
Lungs
Inspection
- Hoarseness
- Rapid rate of breathing
Auscultation
- Pleural friction rub
- Egophony
- Crackling or bubbling noises
- Whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hypo-resonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Heart
- Cardiovascular examination of patients with pulmonary nodule is usually normal.
Abdomen
Back
- Back examination of patients with pulmonary nodule is usually normal.
Genitourinary
- Genitourinary examination of patients with pulmonary nodule is usually normal.
Neuromuscular
- Slurred speech
- Confusion
- Palpable soft-tissue mass
- Deformity of metacarpophalangeal joints (Boutonniere deformity)
- Present in rheumatoid nodule