Intracerebral metastases physical examination: Difference between revisions

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Latest revision as of 23:45, 16 November 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Common physical examination findings of intracerebral metastases include bradycardia, high systolic blood pressure with widened pulse pressure, papilledema, altered mental status, ataxia, and focal neurological deficits.^[1]^[2]

Physical Examination

Common physical examination findings of intracerebral metastases include:^[1]^[2]

Vital Signs

HEENT

Neurological

Altered mental status
Aphasia
Ataxia
Hemiparesis
Dysarthria
Bell's palsy
Focal neurological deficits
- Corticospinal tract defect
  - Spasticity
  - Hyperreflexia
  - Loss of the ability to perform fine movements
  - Extensor plantar response (Babinski sign present)
  - Pronator drift
- Spinocerebellar tract defect
  - Loss of proprioception
- Cranioneuropathies
  - VI^th cranial nerve palsy

References

↑ ^1.0 ^1.1 Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015
↑ ^2.0 ^2.1 Andrew B. Lassman & Lisa M. DeAngelis (2003). "Brain metastases". Neurologic clinics. 21 (1): 1–23. PMID 12690643. Unknown parameter |month= ignored (help)

Template:WikiDoc Sources

[symptomsofbrainmetastases2-1] 1.0 ^1.1 Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015

[historicalperspectiveofintracerebralmetastases-2] 2.0 ^2.1 Andrew B. Lassman & Lisa M. DeAngelis (2003). "Brain metastases". Neurologic clinics. 21 (1): 1–23. PMID 12690643. Unknown parameter |month= ignored (help)

[1]

[2]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Intracerebral metastases}}
+{{CMG}}{{AE}}{{SR}}
-Please help WikiDoc by adding content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
+==Overview==
+Common physical examination findings of intracerebral metastases include [[bradycardia]], [[systolic blood pressure|high systolic blood pressure]] with [[widened pulse pressure]], [[papilledema]], [[altered mental status]], [[ataxia]], and focal neurological deficits.<ref name=symptomsofbrainmetastases2>Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015</ref><ref name=historicalperspectiveofintracerebralmetastases>{{Cite journal
+| author = [[Andrew B. Lassman]] & [[Lisa M. DeAngelis]] | title = Brain metastases | journal = [[Neurologic clinics]] | volume = 21 | issue = 1 | pages = 1–23 | year = 2003 | month = February | pmid = 12690643}}</ref>
+==Physical Examination==
+Common physical examination findings of intracerebral metastases include:<ref name=symptomsofbrainmetastases2>Symptoms of brain metastases. Wikipedia 2015. https://en.wikipedia.org/wiki/Brain_metastasis. Accessed on November 9, 2015</ref><ref name=historicalperspectiveofintracerebralmetastases>{{Cite journal
+| author = [[Andrew B. Lassman]] & [[Lisa M. DeAngelis]] | title = Brain metastases | journal = [[Neurologic clinics]] | volume = 21 | issue = 1 | pages = 1–23 | year = 2003 | month = February | pmid = 12690643}}</ref>
+===Vital Signs===
+*[[Bradycardia]]
+*[[systolic blood pressure|High systolic blood pressure]]
+*[[Widened pulse pressure]]
+*[[Cheyne-Stokes respiration]]
+===HEENT===
+*[[Papilledema]]
+*[[Pupillary dilatation]]
+===Neurological===
+*[[Altered mental status]]
+*[[Aphasia]]
+*[[Ataxia]]
+*[[Hemiparesis]]
+*[[Dysarthria]]
+*[[Bell's palsy]]
+*Focal neurological deficits
+**[[Corticospinal tract|Corticospinal tract defect]]
+***[[Spasticity]]
+***[[Hyperreflexia]]
+***Loss of the ability to perform fine movements
+***Extensor plantar response ([[Babinski sign|Babinski sign present]])
+***Pronator drift
+**[[spinocerebellar tract|Spinocerebellar tract defect]]
+***[[proprioception|Loss of proprioception]]
+**[[nerve palsy|Cranioneuropathies]]
+***[[abducens nerve|VI<sup>th</sup> cranial nerve palsy]]
 ==References==
+{{reflist|2}}
-{{Reflist|2}}
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-[[Category:Oncology]]
 [[Category:Disease]]
 [[Category:Neurology]]
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