Renal cell carcinoma physical examination: Difference between revisions

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{{CMG}}
__NOTOC__
{{Renal cell carcinoma}}
{{Renal cell carcinoma}}
 
{{CMG}} {{AE}} {{F.K}}
==Overview==
==Overview==
Common physical examination findings of renal cell carcinoma include low [[body mass index]], high [[blood pressure]], palpation of [[abdominal mass]], auscultation of [[abdominal bruit]], [[varicocele]], [[muscle atrophy]], skin [[pallor]], facial [[flushing]], and supraclavicular [[lymphadenopathy]].
Common physical examination findings of renal cell carcinoma include low [[body mass index]], high [[blood pressure]], palpation of [[abdominal mass]], auscultation of [[abdominal bruit]], [[varicocele]], [[muscle atrophy]], skin [[pallor]], facial [[flushing]], and supraclavicular [[lymphadenopathy]].


==Physical Examination==
==Physical Examination==
Physical examination findings are generally not revealing. Physical exam findings are not specific. A full physical exam should be conducted in all renal cell carcinoma patients in search of metastasis. In some patients, the presence of the following may be helpful for the diagnosis of renal cell carcinoma:
Physical examination of patients with [disease name] is usually remarkable for [[pallor]], low [[body mass index]], high [[blood pressure]], palpation of [[abdominal mass]] and auscultation of [[abdominal bruit]].<ref name="pmid22112490">{{cite journal |vauthors=Cairns P |title=Renal cell carcinoma |journal=Cancer Biomark |volume=9 |issue=1-6 |pages=461–73 |date=2010 |pmid=22112490 |pmc=3308682 |doi=10.3233/CBM-2011-0176 |url=}}</ref><ref name="pmid26411108">{{cite journal |vauthors=Ata-ur-Rehman R, Ashraf S, Rahim J, Hussain N, Jamil MN, Tahir MM |title=CLINICAL PRESENTATION OF RENAL CELL CARCINOMA |journal=J Ayub Med Coll Abbottabad |volume=27 |issue=2 |pages=326–8 |date=2015 |pmid=26411108 |doi= |url=}}</ref><ref name="pmid12918314">{{cite journal |vauthors=Espinosa Bravo R, Lemourt Oliva M, Pérez Monzón AF, Puente Guillen M, Navarro Cutiño M, Sandoval López O, de la C Fuentes Milera A |title=[Renal cell carcinoma and simultaneous left varicocele] |language=Spanish; Castilian |journal=Arch. Esp. Urol. |volume=56 |issue=5 |pages=533–5 |date=June 2003 |pmid=12918314 |doi= |url=}}</ref><ref name="pmid16985554">{{cite journal |vauthors=Chin AI, Lam JS, Figlin RA, Belldegrun AS |title=Surveillance strategies for renal cell carcinoma patients following nephrectomy |journal=Rev Urol |volume=8 |issue=1 |pages=1–7 |date=2006 |pmid=16985554 |pmc=1471767 |doi= |url=}}</ref>
*Low [[body mass index]] (BMI)
===Appearance of the Patient===
*High [[blood pressure]]
*Patients with renal cell carcinoma usually appear cachexectic.
 
===Vital Signs===
*Hyperthermia may be present.
*High low blood pressure with normal pulse pressure
 
===Skin===
* [[Pallor]]
 
===HEENT===
*Facial [[flushing]] may be present.
 
===Neck===
*Supraclavicular [[lymphadenopathy]]
 
===Lungs===
* Pulmonary examination of patients with renal cell carcinoma is usually normal.
 
===Heart===
* Cardiovascular examination of patients with renal cell carcinoma is usually normal.
 
===Abdomen===
*Palpation of [[abdominal mass]]
*Palpation of [[abdominal mass]]
*Auscultation of [[abdominal bruit]]
*Auscultation of [[abdominal bruit]]
*[[Varicocele]]
 
*[[Muscle atrophy]]
===Back===
*Skin [[pallor]]
*Back examination of patients with renal cell carcinoma is usually normal.
*Facial [[flushing]]
 
*Supraclavicular [[lymphadenopathy]]
===Genitourinary===
*Abnormal neurological exam
*[[Varicocele]] may be present.
 
===Neuromuscular===
* Neuromuscular examination of patients with renal cell carcinoma is usually normal.
 
===Extremities===
*[[Muscle atrophy]] may be present


==References==
==References==

Latest revision as of 14:38, 27 July 2018

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

Overview

Common physical examination findings of renal cell carcinoma include low body mass index, high blood pressure, palpation of abdominal mass, auscultation of abdominal bruit, varicocele, muscle atrophy, skin pallor, facial flushing, and supraclavicular lymphadenopathy.

Physical Examination

Physical examination of patients with [disease name] is usually remarkable for pallor, low body mass index, high blood pressure, palpation of abdominal mass and auscultation of abdominal bruit.[1][2][3][4]

Appearance of the Patient

  • Patients with renal cell carcinoma usually appear cachexectic.

Vital Signs

  • Hyperthermia may be present.
  • High low blood pressure with normal pulse pressure

Skin

HEENT

Neck

Lungs

  • Pulmonary examination of patients with renal cell carcinoma is usually normal.

Heart

  • Cardiovascular examination of patients with renal cell carcinoma is usually normal.

Abdomen

Back

  • Back examination of patients with renal cell carcinoma is usually normal.

Genitourinary

Neuromuscular

  • Neuromuscular examination of patients with renal cell carcinoma is usually normal.

Extremities

References

  1. Cairns P (2010). "Renal cell carcinoma". Cancer Biomark. 9 (1–6): 461–73. doi:10.3233/CBM-2011-0176. PMC 3308682. PMID 22112490.
  2. Ata-ur-Rehman R, Ashraf S, Rahim J, Hussain N, Jamil MN, Tahir MM (2015). "CLINICAL PRESENTATION OF RENAL CELL CARCINOMA". J Ayub Med Coll Abbottabad. 27 (2): 326–8. PMID 26411108.
  3. Espinosa Bravo R, Lemourt Oliva M, Pérez Monzón AF, Puente Guillen M, Navarro Cutiño M, Sandoval López O, de la C Fuentes Milera A (June 2003). "[Renal cell carcinoma and simultaneous left varicocele]". Arch. Esp. Urol. (in Spanish; Castilian). 56 (5): 533–5. PMID 12918314. Vancouver style error: missing comma (help)
  4. Chin AI, Lam JS, Figlin RA, Belldegrun AS (2006). "Surveillance strategies for renal cell carcinoma patients following nephrectomy". Rev Urol. 8 (1): 1–7. PMC 1471767. PMID 16985554.