Palmar plantar erythrodysesthesia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with | [[Physical examination]] of patients with PPE depends on the grade of the disease. Determination of [[toxicity]] grading of PPE requires both visual assessment and patient description of [[Symptom|symptoms]]. [[Skin]] findings include [[erythema]], [[edema]], [[hyperkeratosis]], peeling, [[Blister|blisters]], [[bleeding]], and [[Fissure|fissures]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with | [[Physical examination]] of [[Patient|patients]] with PPE depends on the grade of the disease. Determination of [[toxicity]] grading of PPE requires both visual assessment and patient description of [[Symptom|symptoms]]. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
* Patients with | *[[Patients]] with PPE usually appear normal. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Vital signs are normal. | *[[Vital signs]] of [[patients]] with PPE are usually normal. | ||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with | *[[Skin]] [[examination]] of [[patients]] with PPE depends on the grade of the [[disease]]. | ||
*Determination of [[toxicity]] grading of PPE requires both visual assessment and patient description of symptoms. | |||
* Physical findings include:<ref name="urlProtocol Development | CTEP">{{cite web |url=https://ctep.cancer.gov/protocolDevelopment/electronic_applications/ctc.htm |title=Protocol Development | CTEP |format= |work= |accessdate=}}</ref> | * Physical findings include:<ref name="urlProtocol Development | CTEP">{{cite web |url=https://ctep.cancer.gov/protocolDevelopment/electronic_applications/ctc.htm |title=Protocol Development | CTEP |format= |work= |accessdate=}}</ref> | ||
**[[Erythema]] | |||
** Erythema | **[[Edema]] | ||
** Edema | **[[Hyperkeratosis]] | ||
** Hyperkeratosis | ** Peeling | ||
** Peeling | **[[Blister|Blisters]] | ||
** Blisters | **[[Bleeding]] | ||
** Bleeding | **[[Fissures]] | ||
** Fissures | |||
===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with | * HEENT [[examination]] of [[patients]] with PPE is usually normal. | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with | *[[Neck]] [[examination]] of [[patients]] with PPE is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with | *[[Pulmonary]] [[examination]] of [[Patient|patients]] with PPE is usually normal. | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with | *[[Cardiovascular]] [[examination]] of [[patients]] with PPE is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal examination of patients with | *[[Abdominal]] [[examination]] of [[patients]] with PPE is usually normal. | ||
===Back=== | ===Back=== | ||
* Back examination of patients with | *[[Back]] [[examination]] of [[patients]] with PPE is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with | *[[Genitourinary]] [[examination]] of [[patients]] with PPE is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with | *[[Neuromuscular]] [[examination]] of [[patients]] with PPE is usually normal. | ||
*Rarely, [[sensory]] [[impairment]] in the [[extremities]] may be seen. <ref name="pmid11034047">{{cite journal| author=Hui YF, Cortes JE| title=Palmar-plantar erythrodysesthesia syndrome associated with liposomal daunorubicin. | journal=Pharmacotherapy | year= 2000 | volume= 20 | issue= 10 | pages= 1221-3 | pmid=11034047 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11034047 }} </ref> <ref name="urlwww.oncologynurseadvisor.com">{{cite web |url=https://www.oncologynurseadvisor.com/home/departments/ce-courses/prevention-and-management-of-hand-foot-syndromes/ |title=www.oncologynurseadvisor.com |format= |work= |accessdate=}}</ref> | |||
===Extremities=== | |||
*Extremities examination, excluding the neuromuscular and skin findings, in patients with PPE is usually normal. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Latest revision as of 23:09, 17 July 2019
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Palmar plantar erythrodysesthesia Microchapters |
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Differentiating Palmar plantar erythrodysesthesia from other Diseases |
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Diagnosis |
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Treatment |
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Palmar plantar erythrodysesthesia physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mandana Chitsazan, M.D. [2]
Overview
Physical examination of patients with PPE depends on the grade of the disease. Determination of toxicity grading of PPE requires both visual assessment and patient description of symptoms. Skin findings include erythema, edema, hyperkeratosis, peeling, blisters, bleeding, and fissures.
Physical Examination
Physical examination of patients with PPE depends on the grade of the disease. Determination of toxicity grading of PPE requires both visual assessment and patient description of symptoms.
Appearance of the Patient
- Patients with PPE usually appear normal.
Vital Signs
- Vital signs of patients with PPE are usually normal.
Skin
- Skin examination of patients with PPE depends on the grade of the disease.
- Determination of toxicity grading of PPE requires both visual assessment and patient description of symptoms.
HEENT
- HEENT examination of patients with PPE is usually normal.
Neck
- Neck examination of patients with PPE is usually normal.
Lungs
- Pulmonary examination of patients with PPE is usually normal.
Heart
- Cardiovascular examination of patients with PPE is usually normal.
Abdomen
- Abdominal examination of patients with PPE is usually normal.
Back
- Back examination of patients with PPE is usually normal.
Genitourinary
- Genitourinary examination of patients with PPE is usually normal.
Neuromuscular
- Neuromuscular examination of patients with PPE is usually normal.
- Rarely, sensory impairment in the extremities may be seen. [2] [3]
Extremities
- Extremities examination, excluding the neuromuscular and skin findings, in patients with PPE is usually normal.
References
- ↑ "Protocol Development | CTEP".
- ↑ Hui YF, Cortes JE (2000). "Palmar-plantar erythrodysesthesia syndrome associated with liposomal daunorubicin". Pharmacotherapy. 20 (10): 1221–3. PMID 11034047.
- ↑ "www.oncologynurseadvisor.com".