Non small cell lung cancer physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Peripheral location can present with pleurisy findings | Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. Peripheral location can present with [[Pleurisy physical examination|pleurisy findings]]. Common physical examination of patients with non-small cell lung cancer, include: crackling or bubbling noises, decreased/absent [[breath sounds]], and whispered pectoriloquy. | ||
==Physical Examination== | ==Physical Examination== | ||
The following physical examination findings may be present among patients with non-small cell lung cancer:<ref name="pmid4813837">{{cite journal |vauthors=Hyde L, Hyde CI |title=Clinical manifestations of lung cancer |journal=Chest |volume=65 |issue=3 |pages=299–306 |year=1974 |pmid=4813837 |doi= |url=}}</ref><ref name="pmid25077084">{{cite journal |vauthors=Ouziane I, Boutayeb S, Mrabti H, Lalya I, Rimani M, Errihani H |title=Sarcomatoid carcinoma of the lung: a model of resistance of chemotherapy |journal=N Am J Med Sci |volume=6 |issue=7 |pages=342–5 |date=July 2014 |pmid=25077084 |pmc=4114013 |doi=10.4103/1947-2714.136920 |url=}}</ref> | |||
* Physical examination findings of non small cell lung cancer can be completely normal during the early stage of malignancy. | |||
* Patient may present with following findings in later stage of [[malignancy]]: | |||
===General appearance=== | ===General appearance=== | ||
| Line 18: | Line 20: | ||
===Vital Signs=== | ===Vital Signs=== | ||
* Low-grade [[fever]] | * Low-grade [[fever]] | ||
* Decreased | * Decreased oxygen saturation at room air | ||
* [[Tachypnea]] | * [[Tachypnea]] | ||
* [[Tachycardia]] | * [[Tachycardia]] | ||
===HEENT=== | |||
*[[Lymphadenopathy]] | |||
===Skin=== | |||
*[[Pallor]] | |||
*[[Acanthosis nigricans]] | |||
===CNS=== | |||
*[[Slurred speech]] | |||
*[[Confusion]] | |||
===Chest=== | ===Chest=== | ||
'''Auscultation''' | '''Auscultation''' | ||
*Present pleural friction rub | *Present [[pleural friction rub]] | ||
*Present egophony | *Present [[egophony]] | ||
*Crackling or bubbling noises | *Crackling or bubbling noises | ||
*Present whispered pectoriloquy | *Present whispered pectoriloquy | ||
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*Hyporesonance | *Hyporesonance | ||
*Dull percussion | *Dull percussion | ||
*Tactile fremitus | *[[Tactile fremitus]] | ||
*Reduced chest expansion | *Reduced [[chest expansion]] | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
===Back=== | |||
* Back examination of patients with non small cell lung cancer of the lung is usually normal. | |||
===Genitourinary=== | |||
* Genitourinary examination of patients with non small cell lung cancer is usually normal. | |||
===Musculoskeletal=== | ===Musculoskeletal=== | ||
* Palpable soft-tissue mass | * Palpable soft-tissue mass | ||
===Extremities=== | ===Extremities=== | ||
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[[Category:Lung cancer]] | [[Category:Lung cancer]] | ||
[[Category:Oncology]] | [[Category:Oncology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Pulmonology]] | |||
[[Category:Surgery]] | |||
Latest revision as of 16:10, 9 January 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Peripheral location can present with pleurisy findings. Common physical examination of patients with non-small cell lung cancer, include: crackling or bubbling noises, decreased/absent breath sounds, and whispered pectoriloquy.
Physical Examination
The following physical examination findings may be present among patients with non-small cell lung cancer:[1][2]
- Physical examination findings of non small cell lung cancer can be completely normal during the early stage of malignancy.
- Patient may present with following findings in later stage of malignancy:
General appearance
- Well-appearing
- Older age in relation to chronological age
- Lethargic
- Confused
Vital Signs
- Low-grade fever
- Decreased oxygen saturation at room air
- Tachypnea
- Tachycardia
HEENT
Skin
CNS
Chest
Auscultation
- Present pleural friction rub
- Present egophony
- Crackling or bubbling noises
- Present whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hyporesonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Abdomen
Back
- Back examination of patients with non small cell lung cancer of the lung is usually normal.
Genitourinary
- Genitourinary examination of patients with non small cell lung cancer is usually normal.
Musculoskeletal
- Palpable soft-tissue mass
Extremities
References
- ↑ Hyde L, Hyde CI (1974). "Clinical manifestations of lung cancer". Chest. 65 (3): 299–306. PMID 4813837.
- ↑ Ouziane I, Boutayeb S, Mrabti H, Lalya I, Rimani M, Errihani H (July 2014). "Sarcomatoid carcinoma of the lung: a model of resistance of chemotherapy". N Am J Med Sci. 6 (7): 342–5. doi:10.4103/1947-2714.136920. PMC 4114013. PMID 25077084.