Linitis plastica physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of linitis plastica may include [[lymphadenopathy]], [[organomegaly]] and signs of [[ascites]]. | Common physical examination findings of linitis plastica may include [[lymphadenopathy]], [[organomegaly]] and signs of [[ascites]]. <ref name=kk>Ascites. Wikipedia. https://en.wikipedia.org/wiki/Ascites Accessed on December 10, 2015</ref><ref>Stomach cancer. Canadian cancer society. http://www.cancer.ca/en/cancer-information/cancer-type/stomach/diagnosis/?region=nb Accessed on December 10, 2015</ref> | ||
==Physical examination== | ==Physical examination== | ||
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*Organomegaly | *Organomegaly | ||
**[[Liver]] may be enlarged from metastasis and palpable. | **[[Liver]] may be enlarged from metastasis and palpable. | ||
*Ascites may be the presenting symptom as well in patients with peritoneal metastasis.<ref>Ascites. Wikipedia. Accessed on December 10, 2015</ref> | *[[Ascites]] may be the presenting symptom as well in patients with peritoneal metastasis.<ref name=kk>Ascites. Wikipedia. https://en.wikipedia.org/wiki/Ascites Accessed on December 10, 2015</ref> | ||
**[[Flank]] fullness | **[[Flank]] fullness | ||
**Shifting dullness (difference in percussion note in the flanks that shifts when the patient is turned on the side) | **Shifting dullness (difference in percussion note in the flanks that shifts when the patient is turned on the side) | ||
Revision as of 20:45, 10 December 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
Common physical examination findings of linitis plastica may include lymphadenopathy, organomegaly and signs of ascites. [1][2]
Physical examination
Physical examination in patients with early stages may be normal. In metastatic disease, the following may be noticed:
- Lymphadenopathy
- Lymphatic spread of the disease may result in swelling of various groups of lymph nodes.
- Virchow's node (left supraclavicular lymph node)
- Sister Mary Joseph nodule (palpable nodule bulging into the umbilicus)
- Lymphatic spread of the disease may result in swelling of various groups of lymph nodes.
- Organomegaly
- Liver may be enlarged from metastasis and palpable.
- Ascites may be the presenting symptom as well in patients with peritoneal metastasis.[1]
- Flank fullness
- Shifting dullness (difference in percussion note in the flanks that shifts when the patient is turned on the side)
- If the ascites is massive, a fluid thrill or fluid wave is present (tapping or pushing on one side will generate a wave-like effect through the fluid that can be felt in the opposite side of the abdomen).
References
- ↑ 1.0 1.1 Ascites. Wikipedia. https://en.wikipedia.org/wiki/Ascites Accessed on December 10, 2015
- ↑ Stomach cancer. Canadian cancer society. http://www.cancer.ca/en/cancer-information/cancer-type/stomach/diagnosis/?region=nb Accessed on December 10, 2015