Adenocarcinoma of the lung physical examination: Difference between revisions

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{{Adenocarcinoma of the lung}}
{{Adenocarcinoma of the lung}}
{{CMG}}; {{AE}} {{SC}}
{{CMG}}; {{AE}} {{SC}} {{Cherry}}
==Overview==
==Overview==
Common physical examination findings of adenocarcinoma of the lung include [[tachypnea]], decreased [[breath sounds]], and lethargy. Physical findings may be due to lung cancer itself or arise as a complication of [[Paraneoplastic syndrome|paraneoplastic syndromes]].


==Physical Examination==
==Physical Examination==
===General appearance===
===General appearance===
*[[Lethargic]]
The patient may appear normal, lethargic, emaciated depending upon the stage of the disease.<ref name="canadian">Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on December 20, 2015</ref>
*Emaciated
*Confused
*Upper body obesity


===Vital Signs===
===Vital Signs===
* Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs:
* Low-grade [[fever]]
:* Low-grade [[fever]]
* Decreased [[Oxygen|pO2]]
:* Decreased SPO2
* [[Tachypnea]]
:* [[Tachypnea]]
* [[Tachycardia]]
:* [[Tachycardia]]
* Low [[blood pressure]]
:* Low BP


===Chest===
===Chest===
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===Abdomen===
===Abdomen===
*Discomfort on palpation
*[[Hepatomegaly]]
*[[Hepatomegaly]]
*[[Ascites]]
*[[Ascites]]


===Skeletal===
===Skeletal===
*Bone pain
*[[Bone pain]]
*Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)
*[[Fractures]]


===Skin===
===Skin===
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===HEENT===
===HEENT===
*[[Jaundice]]
*[[Lymphadenopathy]]
*[[Lymphadenopathy]]  
*Visual defects
*Rounded face
*Increased fat around the neck


===CNS===
===CNS===
*Cranial nerve palsies
*[[Cranial nerve]] palsies


===Extremities===
===Extremities===
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*[[Weakness]]
*[[Weakness]]
*[[Hemiplegia]]
*[[Hemiplegia]]
*Shoulder pain (caused by a [[Pancoast tumor]])
*Thinning arms and legs


==References==
==References==

Latest revision as of 14:34, 6 March 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2] Sudarshana Datta, MD [3]

Overview

Common physical examination findings of adenocarcinoma of the lung include tachypnea, decreased breath sounds, and lethargy. Physical findings may be due to lung cancer itself or arise as a complication of paraneoplastic syndromes.

Physical Examination

General appearance

The patient may appear normal, lethargic, emaciated depending upon the stage of the disease.[1]

Vital Signs

Chest

Abdomen

Skeletal

Skin

HEENT

CNS

Extremities

References

  1. Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on December 20, 2015


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