Insulinoma physical examination: Difference between revisions

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Latest revision as of 02:07, 27 November 2017

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

Overview

Physical examination of patients with insulinoma is usually unremarkable.

Physical Examination

Physical examination of patients with insulinoma is usually unremarkable.

Appearance of the Patient

Patients with insulinoma usually appear unremarkable. They may have altered mental status or sweating rarely.

Vital Signs

Low-grade fever

Skin

May have sweating

HEENT

Unremarkable

No abnormalities of the head/hair
No evidence of trauma
Normal sclera
No Nystagmus
Extra-ocular movements are normal
Pupils are reactive to light and to accommodation
Ophthalmoscopic exam may be normal
Hearing acuity is fine
Weber test is normal
No tenderness upon palpation of the ear pinnae/tragus
No facial tenderness
No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae

Neck

Unremarkable

Lungs

Unremarkable

Heart

Unremarkable

Abdomen

Unremarkable

Back

Unremarkable

Genitourinary

Unremarkable

Neuromuscular

Altered mental status/confusion may be present
May be comatose rarely
Unilateral/bilateral fine tremors can be present rarely

Extremities

Unremarkable

References

Template:WH Template:WS

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Insulinoma}}
-{{CMG}}{{AE}}{{PSD}}
+{{CMG}}; {{AE}} {{ADS}}
 ==Overview==
-Common physical examination findings of insulinoma include [[tachycardia]], [[jaundice]], [[diplopia]], [[tremors]], and [[altered mental status]].<ref name="pmid23430217">{{cite journal| author=Okabayashi T, Shima Y, Sumiyoshi T, Kozuki A, Ito S, Ogawa Y et al.| title=Diagnosis and management of insulinoma. | journal=World J Gastroenterol | year= 2013 | volume= 19 | issue= 6 | pages= 829-37 | pmid=23430217 | doi=10.3748/wjg.v19.i6.829 | pmc=PMC3574879 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23430217  }} </ref><ref name=PE>Insulinoma.  Wikipedia. https://en.wikipedia.org/wiki/Insulinoma.</ref>
+Physical examination of patients with insulinoma is usually unremarkable.
 ==Physical Examination==
-Common physical examination findings of insulinoma include:<ref name="pmid23430217">{{cite journal| author=Okabayashi T, Shima Y, Sumiyoshi T, Kozuki A, Ito S, Ogawa Y et al.| title=Diagnosis and management of insulinoma. | journal=World J Gastroenterol | year= 2013 | volume= 19 | issue= 6 | pages= 829-37 | pmid=23430217 | doi=10.3748/wjg.v19.i6.829 | pmc=PMC3574879 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23430217  }} </ref><ref name=PE>Insulinoma.  Wikipedia. https://en.wikipedia.org/wiki/Insulinoma.</ref>
+Physical examination of patients with insulinoma is usually unremarkable.
-===Appearance of The Patient===
+===Appearance of the Patient===
+*Patients with insulinoma usually appear unremarkable. They may have [[altered mental status]] or [[sweating]] rarely.
-*The patient is often confused and may appear [[diaphoretic]]
+===Vital Signs===
-===Vitals===
+*[[Low-grade fever]]
-====Pulse====
-=====Rate=====
-*[[Tachycardia]] may be present in persons with insulinoma
-=====Rhythm=====
-*Pulse is regular
 ===Skin===
-*[[Jaundice]] may be present
+* May have [[sweating]]
-===Eyes===
-*[[Diplopia]] may be present
+===HEENT===
+Unremarkable
+* No abnormalities of the head/hair
+* No evidence of trauma
+* Normal sclera
+* No [[Nystagmus]]
+* Extra-ocular movements are normal
+* [[Pupils]] are reactive to light and to [[accommodation]]
+* Ophthalmoscopic exam may be normal
+* Hearing acuity is fine
+*[[Weber test]] is normal
+* No tenderness upon palpation of the ear pinnae/tragus
+* No facial tenderness
+* No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
+===Neck===
+*Unremarkable
+===Lungs===
+* Unremarkable
 ===Heart===
-*[[Tachycardia]] may be present
+* Unremarkable
+===Abdomen===
+* Unremarkable
+===Back===
+* Unremarkable
+===Genitourinary===
+* Unremarkable
+===Neuromuscular===
+*[[Altered mental status]]/[[confusion]]  may be present
+* May be [[comatose]] rarely
+* Unilateral/bilateral fine [[Tremor|tremors]] can be present rarely
 ===Extremities===
-*[[Tremors]] may be present
+* Unremarkable
-===Neurologic===
-*Mental status may be altered
 ==References==
 {{Reflist|2}}
+{{WH}}
-[[Category:Disease]]
+{{WS}}
-[[Category:Endocrinology]]
+ [[Category:Up-To-Date]]
-[[Category:Mature chapter]]
+[[Category:Oncology]]
+[[Category:Medicine]]
-{{WikiDoc Help Menu}}
+[[Category:Gastroenterology]]
-{{WikiDoc Sources}}
+[[Category:Surgery]]