Wilms' tumor physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with | 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 | * 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 | * 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 | ** 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. | ||
=== 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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Wilms' tumor physical examination On the Web |
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Risk calculators and risk factors for Wilms' tumor physical examination |
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
- Aniridia may be present
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
- Genitourinary malformations may be present.
References
- ↑ Steinbrecher HA, Malone PS (August 1995). "Wilms' tumour and hypertension: incidence and outcome". Br J Urol. 76 (2): 241–3. PMID 7663919.
- ↑ 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.
- ↑ 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.
- ↑ 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.