Gestational trophoblastic neoplasia physical examination

Overview

• A pelvic examination may reveal continued uterine swelling or a tumor.
• edema of the hands and feet
• rapid heartbeat
• fevertrouble
• breathing
• ovarian cysts
• Tachycardia

Physical Examination

Appearance of the Patient

• This section should give a general description of what a patient with the disease you are describing may look like.
• If patients typically appear normal, you may write: Patients are usually well-appearing.
• You may include a physical description such as obese, thin, cachectic, ill appearing, diaphoretic etc. Mention in which cases these findings are present (e.g. well-appearing in early stages of cancer, cachectic in late stage cancer)
• For an example of the appearance of a patient section in the physical examination page, click here.

Vital Signs

• fever
• Tachycardia with regular pulse or (ir)regularly irregular pulse
• Tachypnea / bradypnea
• Kussmal respirations may be present in _____ (advanced disease state)
• Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
• High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure

Skin

• Jaundice
• Pallor
• Bruises

Note: To describe a rash, always report additional details that include the color (e.g. erythematous), shape (e.g. flat / bullous), dermarcation (e.g. well-circumscribed / diffuse), location (e.g. truncal / on the face / on the extremities), enclosing fluid (e.g. vesicular / filled with pus, clear), and if possible smell (e.g. foul-smelling / odorless)

HEENT

• Icteric sclera

Lungs

• Lungs are hypo/hyperresonant
• Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
• Ronchi
• Vesicular breath sounds / Distant breath sounds
• Expiratory/inspiratory wheezing with normal / delayed expiratory phase

Abdomen

• Abdominal distention
• A palpable abdominal mass in the right/left upper/lower abdominal quadrant
• Hepatomegaly / splenomegaly / hepatosplenomegaly

Genitourinary

• A pelvic/adnexal mass may be palpated
• Clear/(color), foul-smelling/odorless penile/vaginal discharge

Extremities

• Clubbing
• Pitting[edema of the upper/lower extremities