Glucagonoma physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of glucagonoma include: | Common physical examination findings of glucagonoma include: | ||
===General Appearance=== | ===General Appearance=== | ||
*Patients with glucagonoma are generally well-appearing | *Patients with glucagonoma are generally well-appearing | ||
*Patient may appear thin and cachectic in advanced cases | *Patient may appear thin and cachectic in advanced cases | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Tachycardia]] may be present | *[[Tachycardia]] may be present | ||
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===Skin=== | ===Skin=== | ||
*[[Rash]] | *[[Rash]] | ||
:*Erythematous, ring shaped rash that blisters, erodes, and crusts over suggesting necrolytic migratory erythema | :*Erythematous, ring shaped [[rash]] that blisters, erodes, and crusts over suggesting [[necrolytic migratory erythema]] | ||
===HEENT=== | ===HEENT=== | ||
Ophthalmoscopic exam may be abnormal with findings of cotton wool spots, flame hemorrhage, and dot and blot hemorrhage. | Ophthalmoscopic exam may be abnormal with findings of cotton wool spots, flame hemorrhage, and dot and blot hemorrhage. | ||
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[[Tachycardia]] may be present | [[Tachycardia]] may be present | ||
===Extremities=== | ===Extremities=== | ||
*Muscle atrophy may be present | *Muscle [[atrophy]] may be present | ||
*Unilateral calf or thigh tenderness | *Unilateral calf or thigh tenderness | ||
*Unilateral calf or thigh swelling | *Unilateral calf or thigh swelling | ||
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*Palpable cord (a thickened palpable vein suggestive of thrombosed vein) | *Palpable cord (a thickened palpable vein suggestive of thrombosed vein) | ||
*Dilatation of unilateral collateral superficial veins | *Dilatation of unilateral collateral superficial veins | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is oriented to persons, place, and time | *Patient is oriented to persons, place, and time | ||
*Hyporeflexia may be present | *Hyporeflexia may be present | ||
*Unilateral/bilateral sensory loss in the upper/lower extremity may be present | *Unilateral/bilateral [[sensory loss]] in the upper/lower extremity may be present | ||
*Muscle atrophy may be present | *Muscle [[atrophy]] may be present | ||
*Vibration and Joint position sense may be decreased | *Vibration and Joint position sense may be decreased | ||
Revision as of 15:34, 16 October 2015
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Glucagonoma Microchapters |
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Glucagonoma physical examination On the Web |
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American Roentgen Ray Society Images of Glucagonoma physical examination |
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Risk calculators and risk factors for Glucagonoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
Common physical examination findings of glucagonoma include tachycardia, fever, rash, muscle atrophy, cotton wool spots, flame hemorrhage, and dot and blot hemorrhage on fundoscopic examination of the eye may be present.
Physical Examination
Common physical examination findings of glucagonoma include:
General Appearance
- Patients with glucagonoma are generally well-appearing
- Patient may appear thin and cachectic in advanced cases
Vital Signs
- Tachycardia may be present
- Fever may be present
Skin
- Erythematous, ring shaped rash that blisters, erodes, and crusts over suggesting necrolytic migratory erythema
HEENT
Ophthalmoscopic exam may be abnormal with findings of cotton wool spots, flame hemorrhage, and dot and blot hemorrhage.
Heart
Tachycardia may be present
Extremities
- Muscle atrophy may be present
- Unilateral calf or thigh tenderness
- Unilateral calf or thigh swelling
- Unilateral calf or thigh warmth
- Unilateral calf or thigh erythema
- Palpable cord (a thickened palpable vein suggestive of thrombosed vein)
- Dilatation of unilateral collateral superficial veins
Neuromuscular
- Patient is oriented to persons, place, and time
- Hyporeflexia may be present
- Unilateral/bilateral sensory loss in the upper/lower extremity may be present
- Muscle atrophy may be present
- Vibration and Joint position sense may be decreased