Gestational trophoblastic neoplasia physical examination: Difference between revisions

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{{Choriocarcinoma}}
{{Gestational trophoblastic neoplasia}}
 
{{CMG}}{{AE}}{{MD}}
==Overview==
Common physical examination findings of choriocarcinoma include [[abdominal distention]], [[pelvic]]/adnexal mass, and bloody [[vaginal discharge]].<ref name= xxx> Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015</ref>


==Overview==
* A pelvic examination may reveal continued uterine swelling or a tumor.
* edema of the hands and feet
* rapid heartbeat
* fevertrouble
* breathing
* ovarian cysts
* Tachycardia
==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
*This section should give a general description of what a patient with the disease you are describing may look like.
*If patients typically appear normal, you may write: Patients are usually well-appearing.
*You may include a physical description such as obese, thin, cachectic, ill appearing, diaphoretic etc. Mention in which cases these findings are present (e.g. well-appearing in early stages of cancer, cachectic in late stage cancer)
* For an example of the appearance of a patient section in the physical examination page, click [[Stomach cancer physical examination|here]].
===Vital Signs===
===Vital Signs===
* fever
* [[Fever]]<ref name= xxx> Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015</ref>
*[[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
* [[Tachycardia]]
*Tachypnea / bradypnea
* [[Tachypnea]]  
*Kussmal respirations may be present in _____ (advanced disease state)
*Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
*High/low blood pressure with normal pulse pressure / [[wide pulse pressure]] / [[narrow pulse pressure]]
 
===Skin===
===Skin===
*[[Jaundice]]
* [[Jaundice]]
* [[Pallor]]
* [[Pallor]]
* Bruises
Note: To describe a rash, always report additional details that include the color (e.g. erythematous), shape (e.g. flat / bullous), dermarcation (e.g. well-circumscribed / diffuse), location (e.g. truncal / on the face / on the extremities), enclosing fluid (e.g. vesicular / filled with pus, clear), and if possible smell (e.g. foul-smelling / odorless)
===HEENT===
===HEENT===
* Icteric sclera  
* Icteric sclera  
===Lungs===
===Lungs===
*Lungs are hypo/hyperresonant
* Distant breath sounds
*Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
*Ronchi
*Vesicular breath sounds / Distant breath sounds
*Expiratory/inspiratory wheezing with normal / delayed expiratory phase
 
 
===Abdomen===
===Abdomen===
*[[Abdominal distention]]  
* [[Abdominal distention]]  
*A palpable abdominal mass in the right/left upper/lower abdominal quadrant
* [[Hepatomegaly]]
*[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
 
===Genitourinary===
===Genitourinary===
*A pelvic/adnexal mass may be palpated
* A [[pelvic]]/adnexal mass may be palpated
*Clear/(color), foul-smelling/odorless penile/vaginal discharge
* Blood in [[vaginal discharge]]
 
===Extremities===
===Extremities===
*[[Clubbing]]  
* [[Clubbing]]  
*Pitting[edema of the upper/lower extremities
* [[Pitting edema]] of the lower extremities


==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Disease]]
[[Category:Disease]]
[[Category:Gynecology]]
[[Category:Gynecology]]
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[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gynecology]]
[[Category:Surgery]]

Latest revision as of 23:37, 26 November 2017

Gestational trophoblastic neoplasia Microchapters

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

Overview

Common physical examination findings of choriocarcinoma include abdominal distention, pelvic/adnexal mass, and bloody vaginal discharge.[1]

Physical Examination

Vital Signs

Skin

HEENT

  • Icteric sclera

Lungs

  • Distant breath sounds

Abdomen

Genitourinary

Extremities

References

  1. 1.0 1.1 Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015

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