Sacrococcygeal teratoma physical examination: Difference between revisions

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{{Sacrococcygeal teratoma}}
{{Sacrococcygeal teratoma}}
{{CMG}}{{AE}}{{MGS}}
{{CMG}}{{AE}}{{Sab}}{{MGS}}


==Overview==
==Overview==
Patient with sacrococcygeal teratoma usually are generally well-appearanceing. Physical examination of patients with sacrococcygeal teratoma is usually remarkable for a protruding pre-sacral mass.<ref name = PE>{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
[[Patient|Patients]] with sacrococcygeal teratoma are generally well-appearing. [[Physical examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually remarkable for a protruding pre-[[sacral]] mass.  


==Physical Examination==
==Physical Examination==
===General Apperance===
===Appearance of the Patient===
*Patients with sacrococcygeal teratoma are generally well-appearing. Patients are oriented to time, place, and person. <ref name = PE>{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
*[[Patient|Patients]] with sacrococcygeal teratoma are generally well-appearing.<ref name="PE">{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
*Presentation may vary by the age of the patient
*Presentation may vary by the age of the [[patient]]
:*In utero - Mass extending off the caudal end
:*In [[Uterus|utero]]: Mass extending off the [[Anatomical terms of location|caudal]] end
:*In Infancy - asymptomatic or signs of obstruction of rectum or bladder
:*In [[Infant|Infancy]]: [[asymptomatic]] or [[Medical sign|signs]] of obstruction of [[rectum]] or [[Urinary bladder|bladder]]
:*At birth - usually a visible mass under the skin at the sacrococcygeal region
:*At [[birth]]: Usually a visible mass under the [[skin]] at the [[Sacrum|sacro]]-[[Coccyx|coccygeal]] region


===Neurological Examination===
===Vital Signs===
*Small sacrococcygeal teratomas don't present with any neurological deficits. <ref name = PE>{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
* [[Vital signs]] of [[Patient|patients]] with sacrococcygeal teratoma are usually within normal limits.
*Large sacrococcygeal teratoma can present with [[paresis]] or [[paralysis]] if they compress the nerve.
 
===Skin===
* Protruding pre-[[sacral]] mass
 
===HEENT===
* HEENT [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal.
 
===Neck===
* [[Neck]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal.
 
===Lungs===
* [[Respiratory examination|Pulmonary examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal.
 
===Heart===
* [[Circulatory system|Cardiovascular]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal.
 
===Abdomen===
* [[Abdominal distension]] (in rare cases)
 
===Back===
* Protruding pre-[[sacral]] mass
 
===Genitourinary===
* [[Genitourinary system|Genitourinary]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal.
 
===Neuromuscular===
*Small sacrococcygeal teratoma does not present with any [[Neurology|neurological]] deficits. <ref name="PE">{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
*Large sacrococcygeal teratoma can present with [[paresis]] or [[paralysis]] if it compresses a [[nerve]].
 
===Extremities===
* [[Limb (anatomy)|Extremities]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal.


===Rectal Examination===
===Rectal Examination===
*Rectal mass causing pressure on rectum.
*[[Rectal]] mass causing pressure on [[rectum]].
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 20:06, 6 May 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2] Mirdula Sharma, MBBS [3]

Overview

Patients with sacrococcygeal teratoma are generally well-appearing. Physical examination of patients with sacrococcygeal teratoma is usually remarkable for a protruding pre-sacral mass.

Physical Examination

Appearance of the Patient

  • Patients with sacrococcygeal teratoma are generally well-appearing.[1]
  • Presentation may vary by the age of the patient

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

Rectal Examination

References

  1. 1.0 1.1 Mahour GH (1988). "Sacrococcygeal teratomas". CA Cancer J Clin. 38 (6): 362–7. PMID 3141009.

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