Pulmonary nodule physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with solitary pulmonary nodule usually are well-appearing. Physical examination of patients with solitary pulmonary nodule usually has no remarkable findings. In some cases, solitary pulmonary nodule may show findings associated with the underlying condition.<ref name="pmid2019220">{{cite journal |vauthors=Lillington GA |title=Management of solitary pulmonary nodules |journal=Dis Mon |volume=37 |issue=5 |pages=271–318 |year=1991 |pmid=2019220 |doi= |url=}}</ref> | |||
==Physical Examination== | ==Physical Examination== | ||
*The following physical examination findings may be present among patients with solitary pulmonary nodule:<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> | |||
===General appearance=== | |||
*Well-appearing | |||
*Older age in relation to chronological age | |||
*[[Lethargic]] | |||
*Confused | |||
===Vital Signs=== | |||
* Decreased SPO2 | |||
* [[Tachypnea]] | |||
* [[Tachycardia]] | |||
===Chest=== | |||
'''Inspection''' | |||
*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=== | |||
*[[Hepatomegaly]] | |||
===Musculoskeletal=== | |||
* Palpable soft-tissue mass | |||
* Deformity of metacarpophalangeal joints (Boutonniere deformity) | |||
:*Present in rheumatoid nodule | |||
===Skin=== | |||
*[[Pallor]] | |||
*[[Acanthosis nigricans]] | |||
===HEENT=== | |||
*[[Lymphadenopathy]] | |||
===CNS=== | |||
*Slurred speech | |||
*[[Confusion]] | |||
===Extremities=== | |||
*[[Clubbing]] of fingers | |||
*[[Swelling]] of hands and feet | |||
*[[Weakness]] | |||
* Absent [[pulse]] | |||
==References== | ==References== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Types of cancer]] | |||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Lung cancer]] | |||
[[Category:Oncology]] | |||
Revision as of 13:46, 18 March 2016
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Pulmonary nodule physical examination On the Web |
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Risk calculators and risk factors for Pulmonary nodule physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Patients with solitary pulmonary nodule usually are well-appearing. Physical examination of patients with solitary pulmonary nodule usually has no remarkable findings. In some cases, solitary pulmonary nodule may show findings associated with the underlying condition.[1]
Physical Examination
- The following physical examination findings may be present among patients with solitary pulmonary nodule:[2]
General appearance
- Well-appearing
- Older age in relation to chronological age
- Lethargic
- Confused
Vital Signs
- Decreased SPO2
- Tachypnea
- Tachycardia
Chest
Inspection
- 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
- Deformity of metacarpophalangeal joints (Boutonniere deformity)
- Present in rheumatoid nodule
Skin
HEENT
CNS
- Slurred speech
- Confusion
Extremities