Peutz-Jeghers syndrome physical examination: Difference between revisions
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===Vitals=== | ===Vitals=== | ||
*[[Fever]] | *[[Fever]] | ||
*[[Tachypnea]] | *[[Tachypnea]] | ||
===Skin=== | ===Skin=== | ||
*[[Jaundice]] may be | *[[Jaundice]] may be suggestive of [[pancreatic cancer]] develops | ||
===Eyes=== | ===Eyes=== | ||
*Icteric [[sclera]] | *Icteric [[sclera]] | ||
===Throat=== | ===Throat=== | ||
| Line 28: | Line 28: | ||
===Neck=== | ===Neck=== | ||
*[[Lymph nodes]] | *Enlarged [[Lymph nodes]] | ||
===Lungs=== | ===Lungs=== | ||
*If [[lung cancer]] develops, the patient may present with the following: | *If [[lung cancer]] develops, the patient may present with the following: | ||
:*[[Pulmonary edema]] and [[rales]] | :*[[Pulmonary edema]] and [[rales]] | ||
:*[[Wheezing]] | :*[[Wheezing]] | ||
:*Consolidation | :*Consolidation with reduced breath sounds on [[auscultation]] | ||
:*[[Rales]] | :*[[Rales]] | ||
:*[[Egophony]] | :*[[Egophony]] | ||
:* Chest movement may be asymmetric | :* Chest movement may be asymmetric | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Abdominal tenderness]] | *[[Abdominal tenderness]] | ||
*[[Rebound tenderness]] | *[[Rebound tenderness]] | ||
*An [[acute abdomen]] may be | *An [[acute abdomen]] may be suggestive of [[intussusception]] | ||
*An abdominal mass may be | *An abdominal mass may be suggestive of [[hepatic]] or [[pancreatic]] | ||
*Guarding | *Guarding | ||
*[[Hepatomegaly]] may be | *[[Hepatomegaly]] may be suggestive of [[hepatic cancer]] | ||
===Extremities=== | ===Extremities=== | ||
Revision as of 20:47, 16 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]
Overview
Common physical examination findings of Peutz-Jeghers syndrome include mucocutaneous hyperpigmentation, abdominal tenderness due to intussusception, bowel obstruction, and pallor due to anemia.
Physical Examination
Appearance of the Patient
- Patient may appear cachectic, If cancer develops
Vitals
Skin
- Jaundice may be suggestive of pancreatic cancer develops
Eyes
- Icteric sclera
Throat
- Oral mucosa
- Mucocutaneous pigmentation causing patches of hyperpigmentation in the oral mucosa (gingiva, hard palate, buccal mucosa, and labial mucosa)[1]
Neck
- Enlarged Lymph nodes
Lungs
- If lung cancer develops, the patient may present with the following:
- Pulmonary edema and rales
- Wheezing
- Consolidation with reduced breath sounds on auscultation
- Rales
- Egophony
- Chest movement may be asymmetric
Abdomen
- Abdominal distention
- Abdominal tenderness
- Rebound tenderness
- An acute abdomen may be suggestive of intussusception
- An abdominal mass may be suggestive of hepatic or pancreatic
- Guarding
- Hepatomegaly may be suggestive of hepatic cancer
Extremities
- Patches of hyperpigmentation on the hands and feet[1]
- Clubbing may be present, if lung cancer develops
- Cyanosis may be present, if lung cancer develops
References
- ↑ 1.0 1.1 Hofmann S, Barth TF, Kornmann M, Henne-Bruns D (2014). "Appendix carcinoid associated with the Peutz-Jeghers syndrome". Int J Surg Case Rep. 5 (12): 964–7. doi:10.1016/j.ijscr.2014.06.024. PMC 4276270. PMID 25460448.