Colorectal cancer physical examination: Difference between revisions
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{{Colon cancer}} | {{Colon cancer}} | ||
''' | To view the physical examination of familial adenomatous polyposis (FAP), click [[Familial adenomatous polyposis physical examination|'''here''']]<br> | ||
To view the physical examination of hereditary nonpolyposis colorectal cancer (HNPCC), click [[Hereditary nonpolyposis colorectal cancer physical examination|'''here''']]<br><br> | |||
{{CMG}} {{AE}} Saarah T. Alkhairy, M.D. {{USAMA}} | |||
==Overview== | ==Overview== | ||
Generally, the most common signs of colorectal cancer are [[emaciation]], [[lethargy]], and [[pallor]] Other signs include low-grade [[fever]], discomfort on [[palpation]], [[ascites]] rectal bleeding, rectal mass, and [[jaundice]]. | |||
==Physical Examination== | ==Colorectal Cancer Physical Examination== | ||
The physical examination of colorectal carcinoma may show:<ref>{{Cite journal | |||
| author = [[Yasmine Samir Galal]], [[Tarek Tawfik Amin]], [[Abdulelah Khalid Alarfaj]], [[Abdulaziz Abdullah Almulhim]], [[Abdullah Abdulmohsen Aljughaiman]], [[Abdulrhaman Khaled Almulla]] & [[Rehab Ahmed Abdelhai]] | |||
| title = Colon Cancer among Older Saudis: Awareness of Risk Factors and Early Signs, and Perceived Barriers to Screening | |||
| journal = [[Asian Pacific journal of cancer prevention : APJCP]] | |||
| volume = 17 | |||
| issue = 4 | |||
| pages = 1837–1846 | |||
| year = 2016 | |||
| pmid = 27221862 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Carmen Jochem]] & [[Michael Leitzmann]] | |||
| title = Obesity and Colorectal Cancer | |||
| journal = [[Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer]] | |||
| volume = 208 | |||
| pages = 17–41 | |||
| year = 2016 | |||
| doi = 10.1007/978-3-319-42542-9_2 | |||
| pmid = 27909900 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Hind Mrabti]], [[Mounia Amziren]], [[Ibrahim ElGhissassi]], [[Youssef Bensouda]], [[Narjiss Berrada]], [[Halima Abahssain]], [[Saber Boutayeb]], [[Samira El Fakir]], [[Chakib Nejjari]], [[Abdellatif Benider]], [[Nawfel Mellas]], [[Omar El Mesbahi]], [[Maria Bennani]], [[Rachid Bekkali]], [[Ahmed Zidouh]] & [[Hassan Errihani]] | |||
| title = Quality of life of early stage colorectal cancer patients in Morocco | |||
| journal = [[BMC gastroenterology]] | |||
| volume = 16 | |||
| issue = 1 | |||
| pages = 131 | |||
| year = 2016 | |||
| doi = 10.1186/s12876-016-0538-9 | |||
| pmid = 27733117 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Yasmine Samir Galal]], [[Tarek Tawfik Amin]], [[Abdulelah Khalid Alarfaj]], [[Abdulaziz Abdullah Almulhim]], [[Abdullah Abdulmohsen Aljughaiman]], [[Abdulrhaman Khaled Almulla]] & [[Rehab Ahmed Abdelhai]] | |||
| title = Colon Cancer among Older Saudis: Awareness of Risk Factors and Early Signs, and Perceived Barriers to Screening | |||
| journal = [[Asian Pacific journal of cancer prevention : APJCP]] | |||
| volume = 17 | |||
| issue = 4 | |||
| pages = 1837–1846 | |||
| year = 2016 | |||
| pmid = 27221862 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Samir Pathak]], [[Sanjay Pandanaboyana]], [[Ian Daniels]], [[Neil Smart]] & [[K. R. Prasad]] | |||
| title = Obesity and colorectal liver metastases: Mechanisms and management | |||
| journal = [[Surgical oncology]] | |||
| volume = 25 | |||
| issue = 3 | |||
| pages = 246–251 | |||
| year = 2016 | |||
| doi = 10.1016/j.suronc.2016.05.021 | |||
| pmid = 27566030 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Masato Watanabe]], [[Masanori Tada]], [[Takafumi Satomi]], [[Daichi Chikazu]], [[Masashi Mizumoto]] & [[Hideyuki Sakurai]] | |||
| title = Metastatic rectal adenocarcinoma in the mandibular gingiva: a case report | |||
| journal = [[World journal of surgical oncology]] | |||
| volume = 14 | |||
| issue = 1 | |||
| pages = 199 | |||
| year = 2016 | |||
| doi = 10.1186/s12957-016-0958-6 | |||
| pmid = 27473859 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Vivek Subbiah]] & [[Howard Jack West]] | |||
| title = Jaundice (Hyperbilirubinemia) in Cancer | |||
| journal = [[JAMA oncology]] | |||
| volume = 2 | |||
| issue = 8 | |||
| pages = 1103 | |||
| year = 2016 | |||
| doi = 10.1001/jamaoncol.2016.1236 | |||
| pmid = 27416009 | |||
}}</ref> | |||
== | ===General appearance=== | ||
*[[Lethargy]] | |||
*Palor | |||
*[[Emaciation]] | |||
*[[Confusion]] | |||
===Vital Signs=== | |||
Vital signs are generally within normal limit, but patients with severe disease may have the following vital signs: | |||
*Low-grade [[fever]] | |||
*Decreased SPO2 | |||
*[[Tachypnea]] | |||
*[[Tachycardia]] | |||
*[[Hypotension]] | |||
===Abdomen=== | |||
*Discomfort on palpation | |||
*[[Hepatomegaly]] | |||
*Absent bowel sounds - may be suggestive of [[intestinal obstruction]] | |||
*[[Ascites]] | |||
===Rectal exam=== | |||
*[[Rectal bleeding]] | |||
*Rectal mass | |||
===Chest=== | |||
*Decreased/absent breath sounds | |||
===Skin=== | |||
*[[Pallor]] | |||
*[[Jaundice]] | |||
===HEENT=== | |||
*[[Jaundice]] | |||
*[[Lymphadenopathy]] | |||
===Extremities=== | |||
*[[Swelling of the legs|Swelling of hands and feet]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Types of cancer]] | |||
[[Category:Conditions diagnosed by stool test]] | |||
[[Category:Mature chapter]] | |||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] |
Latest revision as of 16:12, 18 December 2017
Colorectal cancer Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Colorectal cancer physical examination On the Web |
American Roentgen Ray Society Images of Colorectal cancer physical examination |
Risk calculators and risk factors for Colorectal cancer physical examination |
To view the physical examination of familial adenomatous polyposis (FAP), click here
To view the physical examination of hereditary nonpolyposis colorectal cancer (HNPCC), click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D. Usama Talib, BSc, MD [2]
Overview
Generally, the most common signs of colorectal cancer are emaciation, lethargy, and pallor Other signs include low-grade fever, discomfort on palpation, ascites rectal bleeding, rectal mass, and jaundice.
Colorectal Cancer Physical Examination
The physical examination of colorectal carcinoma may show:[1][2][3][4][5][6][7]
General appearance
- Lethargy
- Palor
- Emaciation
- Confusion
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease may have the following vital signs:
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
- Hypotension
Abdomen
- Discomfort on palpation
- Hepatomegaly
- Absent bowel sounds - may be suggestive of intestinal obstruction
- Ascites
Rectal exam
- Rectal bleeding
- Rectal mass
Chest
- Decreased/absent breath sounds
Skin
HEENT
Extremities
References
- ↑ Yasmine Samir Galal, Tarek Tawfik Amin, Abdulelah Khalid Alarfaj, Abdulaziz Abdullah Almulhim, Abdullah Abdulmohsen Aljughaiman, Abdulrhaman Khaled Almulla & Rehab Ahmed Abdelhai (2016). "Colon Cancer among Older Saudis: Awareness of Risk Factors and Early Signs, and Perceived Barriers to Screening". Asian Pacific journal of cancer prevention : APJCP. 17 (4): 1837–1846. PMID 27221862.
- ↑ Carmen Jochem & Michael Leitzmann (2016). "Obesity and Colorectal Cancer". Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer. 208: 17–41. doi:10.1007/978-3-319-42542-9_2. PMID 27909900.
- ↑ Hind Mrabti, Mounia Amziren, Ibrahim ElGhissassi, Youssef Bensouda, Narjiss Berrada, Halima Abahssain, Saber Boutayeb, Samira El Fakir, Chakib Nejjari, Abdellatif Benider, Nawfel Mellas, Omar El Mesbahi, Maria Bennani, Rachid Bekkali, Ahmed Zidouh & Hassan Errihani (2016). "Quality of life of early stage colorectal cancer patients in Morocco". BMC gastroenterology. 16 (1): 131. doi:10.1186/s12876-016-0538-9. PMID 27733117.
- ↑ Yasmine Samir Galal, Tarek Tawfik Amin, Abdulelah Khalid Alarfaj, Abdulaziz Abdullah Almulhim, Abdullah Abdulmohsen Aljughaiman, Abdulrhaman Khaled Almulla & Rehab Ahmed Abdelhai (2016). "Colon Cancer among Older Saudis: Awareness of Risk Factors and Early Signs, and Perceived Barriers to Screening". Asian Pacific journal of cancer prevention : APJCP. 17 (4): 1837–1846. PMID 27221862.
- ↑ Samir Pathak, Sanjay Pandanaboyana, Ian Daniels, Neil Smart & K. R. Prasad (2016). "Obesity and colorectal liver metastases: Mechanisms and management". Surgical oncology. 25 (3): 246–251. doi:10.1016/j.suronc.2016.05.021. PMID 27566030.
- ↑ Masato Watanabe, Masanori Tada, Takafumi Satomi, Daichi Chikazu, Masashi Mizumoto & Hideyuki Sakurai (2016). "Metastatic rectal adenocarcinoma in the mandibular gingiva: a case report". World journal of surgical oncology. 14 (1): 199. doi:10.1186/s12957-016-0958-6. PMID 27473859.
- ↑ Vivek Subbiah & Howard Jack West (2016). "Jaundice (Hyperbilirubinemia) in Cancer". JAMA oncology. 2 (8): 1103. doi:10.1001/jamaoncol.2016.1236. PMID 27416009.