Gestational trophoblastic neoplasia physical examination: Difference between revisions

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===Vital Signs===
===Vital Signs===
* fever
* fever
*[[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
*[[Tachycardia]]
*Tachypnea / bradypnea
*Tachypnea  
*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===
===Skin===
*[[Jaundice]]
*[[Jaundice]]
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* Icteric sclera  
* Icteric sclera  
===Lungs===
===Lungs===
*Lungs are hypo/hyperresonant
* Distant breath sounds
*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===
===Abdomen===
*[[Abdominal distention]]  
*[[Abdominal distention]]  
*A palpable abdominal mass in the right/left upper/lower abdominal quadrant
*[[Hepatomegaly]]
*[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
===Genitourinary===
===Genitourinary===
*A pelvic/adnexal mass may be palpated
*A pelvic/adnexal mass may be palpated
*Clear/(color), foul-smelling/odorless penile/vaginal discharge
*vaginal discharge
===Extremities===
===Extremities===
*[[Clubbing]]  
*[[Clubbing]]  
*Pitting[edema of the upper/lower extremities
*Pitting[edema of the upper/lower extremities
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 14:12, 13 October 2015

Template:Choriocarcinoma Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]

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

  • 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

Skin

HEENT

  • Icteric sclera

Lungs

  • Distant breath sounds

Abdomen

Genitourinary

  • A pelvic/adnexal mass may be palpated
  • vaginal discharge

Extremities

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

References

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