Pulmonary nodule physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with | [[Patient|Patients]] with pulmonary nodule usually are well-appearing. [[Physical examination]] of [[Patient|patients]] with pulmonary nodule usually has no remarkable findings. In some cases, solitary pulmonary nodule may show findings associated with the underlying condition. | ||
==Physical Examination== | ==Physical Examination== | ||
*The following physical examination findings may be present among patients with | *The following [[physical examination]] findings may be present among [[Patient|patients]] with pulmonary nodule:<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> | ||
=== | ===Appearance of the Patient=== | ||
*Well-appearing | *Well-appearing | ||
*Older age in relation to chronological age | *Older age in relation to chronological age | ||
*[[Lethargic]] | *[[Lethargic]] | ||
*Confused | *[[Confusion|Confused]] | ||
===Vital Signs=== | ===Vital Signs=== | ||
| Line 22: | Line 22: | ||
* [[Tachycardia]] | * [[Tachycardia]] | ||
=== | ===Skin=== | ||
*[[Pallor]] | |||
*[[Acanthosis nigricans]] | |||
===HEENT=== | |||
*[[Lymphadenopathy]] | |||
===Neck=== | |||
* [[Neck]] [[Physical examination|examination]] of [[Patient|patients]] with pulmonary nodule is usually normal. | |||
=== Lungs === | |||
'''Inspection''' | '''Inspection''' | ||
*Hoarseness | |||
*Rapid rate of breathing | *[[Hoarseness]] | ||
*Rapid rate of [[breathing]] | |||
'''Auscultation''' | '''Auscultation''' | ||
* | |||
* | *[[Pleural friction rub]] | ||
*[[Egophony]] | |||
*Crackling or bubbling noises | *Crackling or bubbling noises | ||
* | *Whispered pectoriloquy | ||
*Decreased/absent [[breath sounds]] | *Decreased/absent [[breath sounds]] | ||
'''Percussion''' | '''Percussion''' | ||
* | |||
*Dull percussion | *Hypo-resonance | ||
*Dull [[percussion]] | |||
*[[Tactile fremitus]] | *[[Tactile fremitus]] | ||
*Reduced chest expansion | *Reduced [[chest expansion]] | ||
===Heart=== | |||
* [[Cardiovascular]] [[Physical examination|examination]] of [[Patient|patients]] with pulmonary nodule is usually normal. | |||
===Abdomen=== | ===Abdomen=== | ||
*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
=== | ===Back=== | ||
=== | * [[Human back|Back]] [[Physical examination|examination]] of [[Patient|patients]] with pulmonary nodule is usually normal. | ||
*[[ | |||
===Genitourinary=== | |||
* [[Genitourinary system|Genitourinary]] [[Physical examination|examination]] of [[Patient|patients]] with pulmonary nodule is usually normal. | |||
===Neuromuscular=== | |||
*[[Slurred speech]] | |||
*[[ | *[[Confusion]] | ||
*[[Palpation|Palpable]] [[Soft tissue|soft-tissue]] mass | |||
* Deformity of [[Metacarpophalangeal joint|metacarpophalangeal joints]] ([[Boutonniere deformity]]) | |||
:*Present in rheumatoid nodule | |||
* | |||
===Extremities=== | ===Extremities=== | ||
*[[Clubbing]] of fingers | *[[Clubbing]] of [[Finger|fingers]] | ||
*[[Swelling]] of hands and feet | *[[Swelling]] of [[Hand|hands]] and [[feet]] | ||
*[[Weakness]] | *[[Weakness]] | ||
* Absent [[pulse]] | * Absent [[pulse]] | ||
==References== | ==References== | ||
Latest revision as of 16:38, 1 July 2019
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Pulmonary Nodule Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pulmonary nodule physical examination On the Web |
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American Roentgen Ray Society Images of Pulmonary nodule physical examination |
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Risk calculators and risk factors for Pulmonary nodule physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Patients with pulmonary nodule usually are well-appearing. Physical examination of patients with pulmonary nodule usually has no remarkable findings. In some cases, solitary pulmonary nodule may show findings associated with the underlying condition.
Physical Examination
- The following physical examination findings may be present among patients with pulmonary nodule:[1]
Appearance of the Patient
Vital Signs
- Decreased SPO2
- Tachypnea
- Tachycardia
Skin
HEENT
Neck
- Neck examination of patients with pulmonary nodule is usually normal.
Lungs
Inspection
- Hoarseness
- Rapid rate of breathing
Auscultation
- Pleural friction rub
- Egophony
- Crackling or bubbling noises
- Whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hypo-resonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Heart
- Cardiovascular examination of patients with pulmonary nodule is usually normal.
Abdomen
Back
- Back examination of patients with pulmonary nodule is usually normal.
Genitourinary
- Genitourinary examination of patients with pulmonary nodule is usually normal.
Neuromuscular
- Slurred speech
- Confusion
- Palpable soft-tissue mass
- Deformity of metacarpophalangeal joints (Boutonniere deformity)
- Present in rheumatoid nodule