Wilms' tumor physical examination: Difference between revisions

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==Overview==
==Overview==
Physical examination of patients with wilms tumor is usually remarkable for [[Hypertension|high blood pressure]], [[fever]], [[pallor]], [[aniridia]] and a palpable [[abdominal mass]].
Physical examination of patients with Wilms tumor is usually remarkable for [[Hypertension|high blood pressure]], [[fever]], [[pallor]], [[aniridia]] and a palpable [[abdominal mass]].


==Physical Examination==
==Physical Examination==
* Physical examination of patients with wilms tumor is usually remarkable for the following:  
* Physical examination of patients with Wilms tumor is usually remarkable for the following:  


===Vital Signs===
===Vital Signs===
* High blood pressure<ref name="pmid7663919">{{cite journal |vauthors=Steinbrecher HA, Malone PS |title=Wilms' tumour and hypertension: incidence and outcome |journal=Br J Urol |volume=76 |issue=2 |pages=241–3 |date=August 1995 |pmid=7663919 |doi= |url=}}</ref>
* [[High blood pressure]]<ref name="pmid7663919">{{cite journal |vauthors=Steinbrecher HA, Malone PS |title=Wilms' tumour and hypertension: incidence and outcome |journal=Br J Urol |volume=76 |issue=2 |pages=241–3 |date=August 1995 |pmid=7663919 |doi= |url=}}</ref>
* Fever<ref name="pmid3503272">{{cite journal |vauthors=Bonke B, Rupreht J, Van Eijndhoven JH |title=Stimulus processing during apparent unconsciousness in anesthetized volunteers |journal=Percept Mot Skills |volume=62 |issue=2 |pages=587–91 |date=April 1986 |pmid=3503272 |doi=10.2466/pms.1986.62.2.587 |url=}}</ref>
* [[Fever]]<ref name="pmid3503272">{{cite journal |vauthors=Bonke B, Rupreht J, Van Eijndhoven JH |title=Stimulus processing during apparent unconsciousness in anesthetized volunteers |journal=Percept Mot Skills |volume=62 |issue=2 |pages=587–91 |date=April 1986 |pmid=3503272 |doi=10.2466/pms.1986.62.2.587 |url=}}</ref>


===Skin===
===Skin===
* Skin examination of patients with wilms tumor is usually normal.
* Skin examination of patients with Wilms tumor is usually normal.
* [[Pallor]] may be seen if the patient is anemic.<ref name="pmid16189446">{{cite journal |vauthors=Davidson A, Hartley PS, Shuttleworth MH |title=Erythrocytosis and iron deficiency anemia in Wilms tumor |journal=J. Pediatr. Hematol. Oncol. |volume=27 |issue=9 |pages=502 |date=September 2005 |pmid=16189446 |doi= |url=}}</ref>  
* [[Pallor]] may be seen if the patient is anemic.<ref name="pmid16189446">{{cite journal |vauthors=Davidson A, Hartley PS, Shuttleworth MH |title=Erythrocytosis and iron deficiency anemia in Wilms tumor |journal=J. Pediatr. Hematol. Oncol. |volume=27 |issue=9 |pages=502 |date=September 2005 |pmid=16189446 |doi= |url=}}</ref>  


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===Abdominal ===
===Abdominal ===
* A palpable abdominal mass may be present.<ref name="pmid65842">{{cite journal |vauthors=Wallenstein G, Rebohle E, Voigt U, Schneider WD, Bergmann I |title=[Trypsin-inhibitory - capacity in humans to respirable allergens or irritants (author's transl)] |language=German |journal=Z Erkr Atmungsorgane |volume=146 |issue=2 |pages=120–7 |date=August 1976 |pmid=65842 |doi= |url=}}</ref>  
* A palpable [[abdominal mass]] may be present.<ref name="pmid65842">{{cite journal |vauthors=Wallenstein G, Rebohle E, Voigt U, Schneider WD, Bergmann I |title=[Trypsin-inhibitory - capacity in humans to respirable allergens or irritants (author's transl)] |language=German |journal=Z Erkr Atmungsorgane |volume=146 |issue=2 |pages=120–7 |date=August 1976 |pmid=65842 |doi= |url=}}</ref>  
** Examination of the mass should be done cautiously.  
** Examination of the mass should be done cautiously.  
** If too much force is used then the mass rupture and lead to hemorrhagic bleeding into the peritoneal cavity.   
** If too much force is used then the mass rupture and lead to bleeding into the peritoneal cavity.   
** Mass is eccentrically located.   
** Mass is [[Eccentric Lesion|eccentrically]] located.   
** It rarely crosses the midline.   
** It rarely crosses the midline.   
===Neurmuscular===
* Mental retardation may be present


=== Genitourinary ===
=== Genitourinary ===
* Genitourinary malformations may be present.  
* [[Genitourinary]] malformations may be present.  


==References==
==References==

Latest revision as of 14:57, 16 July 2018

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

Overview

Physical examination of patients with Wilms tumor is usually remarkable for high blood pressure, fever, pallor, aniridia and a palpable abdominal mass.

Physical Examination

  • Physical examination of patients with Wilms tumor is usually remarkable for the following:

Vital Signs

Skin

  • Skin examination of patients with Wilms tumor is usually normal.
  • Pallor may be seen if the patient is anemic.[3]

HEENT

Abdominal

  • A palpable abdominal mass may be present.[4]
    • Examination of the mass should be done cautiously.
    • If too much force is used then the mass rupture and lead to bleeding into the peritoneal cavity.
    • Mass is eccentrically located.
    • It rarely crosses the midline.

Genitourinary

References

  1. Steinbrecher HA, Malone PS (August 1995). "Wilms' tumour and hypertension: incidence and outcome". Br J Urol. 76 (2): 241–3. PMID 7663919.
  2. Bonke B, Rupreht J, Van Eijndhoven JH (April 1986). "Stimulus processing during apparent unconsciousness in anesthetized volunteers". Percept Mot Skills. 62 (2): 587–91. doi:10.2466/pms.1986.62.2.587. PMID 3503272.
  3. Davidson A, Hartley PS, Shuttleworth MH (September 2005). "Erythrocytosis and iron deficiency anemia in Wilms tumor". J. Pediatr. Hematol. Oncol. 27 (9): 502. PMID 16189446.
  4. Wallenstein G, Rebohle E, Voigt U, Schneider WD, Bergmann I (August 1976). "[Trypsin-inhibitory - capacity in humans to respirable allergens or irritants (author's transl)]". Z Erkr Atmungsorgane (in German). 146 (2): 120–7. PMID 65842.

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