Astrocytoma physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
* Patients are usually well appearing and can have gait disturbances | * Patients are usually well appearing and can have gait disturbances<ref name="pmid21721894">{{cite journal| author=Forbes JA, Mobley BC, O'Lynnger TM, Cooper CM, Ghiassi M, Hanif R et al.| title=Pediatric cerebellar pilomyxoid-spectrum astrocytomas. | journal=J Neurosurg Pediatr | year= 2011 | volume= 8 | issue= 1 | pages= 90-6 | pmid=21721894 | doi=10.3171/2011.4.PEDS1115 | pmc=PMC3779306 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21721894 }} </ref> | ||
===Vitals=== | ===Vitals=== | ||
Revision as of 16:17, 23 August 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
Physical Examination
Appearance of the Patient
- Patients are usually well appearing and can have gait disturbances[1]
Vitals
Pulse
Rate
- Bradycardia may be present
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Bradypnea may be present
Skin
- Lesions may be present
-
Description (Adapted from Dermatology Atlas)
-
Description (Adapted from Dermatology Atlas)
Eyes
- Nystagmus may be present
- Extra-ocular movements may be abnormal
- Pupils may not react to light
- Ophthalmoscopic exam may be abnormal with findings of papilledema such as swollen disc, blurry vision, venous engorgement,
Ears
- Hearing acuity may be reduced
Neck
- Lymph nodes may be present
Neurologic
- Mental status may be normal. Patient is alert, concious and oriented.
- Trunkal ataxia may be present
- Hyperactive reflexes may be present
- Abducens nerve palsy
References
- ↑ Forbes JA, Mobley BC, O'Lynnger TM, Cooper CM, Ghiassi M, Hanif R; et al. (2011). "Pediatric cerebellar pilomyxoid-spectrum astrocytomas". J Neurosurg Pediatr. 8 (1): 90–6. doi:10.3171/2011.4.PEDS1115. PMC 3779306. PMID 21721894.