Non small cell lung cancer physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with non-small cell lung cancer, include: crackling or bubbling noises, decreased/absent [[breath sounds]], whispered pectoriloquy, and tachypnea.<ref name="pmid4813837">{{cite journal |vauthors=Hyde L, Hyde CI |title=Clinical manifestations of lung cancer |journal=Chest |volume=65 |issue=3 |pages=299–306 |year=1974 |pmid=4813837 |doi= |url=}}</ref> | Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. Peripheral location can present with [[pleurisy]] findings, such as reduced [[chest expansion]]. Common physical examination of patients with non-small cell lung cancer, include: crackling or bubbling noises, decreased/absent [[breath sounds]], whispered pectoriloquy, and [[tachypnea]].<ref name="pmid4813837">{{cite journal |vauthors=Hyde L, Hyde CI |title=Clinical manifestations of lung cancer |journal=Chest |volume=65 |issue=3 |pages=299–306 |year=1974 |pmid=4813837 |doi= |url=}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
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*Rapid rate of breathing | *Rapid rate of breathing | ||
'''Auscultation''' | '''Auscultation''' | ||
*Present pleural friction rub | *Present [[pleural friction rub]] | ||
*Present egophony | *Present [[egophony]] | ||
*Crackling or bubbling noises | *Crackling or bubbling noises | ||
*Present whispered pectoriloquy | *Present whispered pectoriloquy | ||
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*Hyporesonance | *Hyporesonance | ||
*Dull percussion | *Dull percussion | ||
*Tactile fremitus | *[[Tactile fremitus]] | ||
*Reduced chest expansion | *Reduced chest expansion | ||
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===Skin=== | ===Skin=== | ||
*[[Pallor]] | *[[Pallor]] | ||
*[[Acanthosis nigricans]] | |||
===HEENT=== | ===HEENT=== | ||
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===CNS=== | ===CNS=== | ||
*Slurred speech | *Slurred speech | ||
*Confusion | *[[Confusion]] | ||
===Extremities=== | ===Extremities=== | ||
Revision as of 15:54, 24 February 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with non-small cell lung cancer, include: crackling or bubbling noises, decreased/absent breath sounds, whispered pectoriloquy, and tachypnea.[1]
Physical Examination
- The following physical examination findings may be present among patients with non-small cell lung cancer:[1]
General appearance
- Well-appearing
- Older age in relation to chronological age
- Lethargic
- Confused
Vital Signs
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
Chest
Inspection
- Performed in the anterior chest/posterior chest
- Hoarseness
- Rapid rate of breathing
Auscultation
- Present pleural friction rub
- Present egophony
- Crackling or bubbling noises
- Present whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hyporesonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Abdomen
Musculoskeletal
- Palpable soft-tissue mass
Skin
HEENT
CNS
- Slurred speech
- Confusion