Chondrosarcoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Chondrosarcoma}} | {{Chondrosarcoma}} | ||
{{CMG}};{{AE}} {{ | {{CMG}};{{AE}} {{Rohan}} | ||
==Overview== | ==Overview== | ||
Physical examination | Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3]. | ||
OR | |||
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3]. | |||
OR | |||
The presence of [finding(s)] on physical examination is diagnostic of [disease name]. | |||
OR | |||
The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | |||
==Physical Examination== | ==Physical Examination== | ||
Physical examination | Physical examination of patients with chondrosarcoma is usually remarkable for swelling, tenderness, and decreased range of motion. | ||
===Appearance of the Patient=== | |||
*Patients with chondrosarcoma usually appear lethargic and emaciated.<ref name="pmid30559960">{{cite journal| author=Lex JR, Evans S, Stevenson JD, Parry M, Jeys LM, Grimer RJ| title=Dedifferentiated chondrosarcoma of the pelvis: clinical outcomes and current treatment. | journal=Clin Sarcoma Res | year= 2018 | volume= 8 | issue= | pages= 23 | pmid=30559960 | doi=10.1186/s13569-018-0110-1 | pmc=6293503 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30559960 }} </ref> | |||
===Vital Signs=== | |||
*Vital signs are generally within normal limit, but patients with metastasis may present the following vital signs:<ref name="pmid8378694">{{cite journal| author=Raymond E, L'Her P, Jeanbourquin D, Schill H, Jancovici R, Daly JP et al.| title=[Chondrosarcoma of the thoracic wall. Review of the literature apropos of 4 cases]. | journal=Rev Pneumol Clin | year= 1993 | volume= 49 | issue= 1 | pages= 19-25 | pmid=8378694 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8378694 }} </ref> | |||
**Low-grade fever | |||
**Decreased SPO2 | |||
**Tachypnea | |||
**Tachycardia | |||
**Low blood pressure | |||
===Skin=== | |||
*Skin examination of patients with chondrsarcoam is usually normal, but patients with metastasis may present the following: | |||
**[[Jaundice]] | |||
**[[Pallor]] | |||
===HEENT=== | |||
*HEENT examination of patients with chondrosarcoma include:<ref name="pmid30559960">{{cite journal| author=Lex JR, Evans S, Stevenson JD, Parry M, Jeys LM, Grimer RJ| title=Dedifferentiated chondrosarcoma of the pelvis: clinical outcomes and current treatment. | journal=Clin Sarcoma Res | year= 2018 | volume= 8 | issue= | pages= 23 | pmid=30559960 | doi=10.1186/s13569-018-0110-1 | pmc=6293503 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30559960 }} </ref> | |||
**Icteric sclera | |||
**Palpable mass if chondrosarcoma arises from skull | |||
**Tenderness | |||
===Neck=== | |||
*Neck examination of patients with chondrosarcoma is usually normal, but patients with metastasis may present the following: | |||
**[[Lymphadenopathy]] | |||
===Lungs=== | |||
*Pulmonary examination of patients with chondrosarcoma is usually normal, but patients with lung metastasis may present the following:<ref name="pmid8378694">{{cite journal| author=Raymond E, L'Her P, Jeanbourquin D, Schill H, Jancovici R, Daly JP et al.| title=[Chondrosarcoma of the thoracic wall. Review of the literature apropos of 4 cases]. | journal=Rev Pneumol Clin | year= 1993 | volume= 49 | issue= 1 | pages= 19-25 | pmid=8378694 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8378694 }} </ref> | |||
**Decreased chest expansion | |||
**Lungs are hyporesonant | |||
**Decreased or absent breath sounds | |||
===Heart=== | |||
*Cardiovascular examination of patients with chondrosarcoma is usually normal. | |||
===Abdomen=== | |||
*Abdominal examination of patients with chondrosarcoma is usually normal. | |||
===Back=== | |||
*Back examination of patients with chondrosarcoma is usually normal | |||
*However, chondrosarcoma arising from pelvis may cause bowel obstruction leading to tender abdomen. | |||
===Genitourinary=== | |||
* Genitourinary examination of patients with chondrosarcoma is usually normal. | |||
However, chondrosarcoma arising from pelvis may cause bowel obstruction leading to tenderness in lower abdomen and urinary incontinence. | |||
===Neuromuscular=== | |||
*Neuromuscular examination of patients with chondrosarcoma is usually normal. | |||
===Extremities=== | ===Extremities=== | ||
*Extremities examination of patients with chondrosarcoma includes:<ref>{{cite book | last = Peabody | first = Terrance | title = Orthopaedic oncology : primary and metastatic tumors of the skeletal system | publisher = Springer | location = Cham | year = 2014 | isbn = 9783319073224 }}</ref><ref>{{cite book | last = Czerniak | first = Bogdan | title = Dorfman and Czerniak's bone tumors | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2016 | isbn = 9780323023962 }}</ref><ref name="pmid12180616">{{cite journal| author=Weber KL, Raymond AK| title=Low-grade/dedifferentiated/high-grade chondrosarcoma: a case of histological and biological progression. | journal=Iowa Orthop J | year= 2002 | volume= 22 | issue= | pages= 75-80 | pmid=12180616 | doi= | pmc=1888368 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12180616 }} </ref> | |||
* | **[[Clubbing]] | ||
* | **[[Cyanosis]] | ||
*Involvement of adjacent structures (such as peripheral [[nerves]] or [[veins]]) | **[[Edema]] | ||
**Palpable mass | |||
**Tenderness | |||
**Decreased range of motion | |||
**Involvement of adjacent structures (such as peripheral [[nerves]] or [[veins]]) present as weakness, numbness and muscle wasting. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 20:23, 23 January 2019
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Chondrosarcoma physical examination On the Web |
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American Roentgen Ray Society Images of Chondrosarcoma physical examination |
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Risk calculators and risk factors for Chondrosarcoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Physical examination of patients with chondrosarcoma is usually remarkable for swelling, tenderness, and decreased range of motion.
Appearance of the Patient
- Patients with chondrosarcoma usually appear lethargic and emaciated.[1]
Vital Signs
- Vital signs are generally within normal limit, but patients with metastasis may present the following vital signs:[2]
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
- Low blood pressure
Skin
- Skin examination of patients with chondrsarcoam is usually normal, but patients with metastasis may present the following:
HEENT
- HEENT examination of patients with chondrosarcoma include:[1]
- Icteric sclera
- Palpable mass if chondrosarcoma arises from skull
- Tenderness
Neck
- Neck examination of patients with chondrosarcoma is usually normal, but patients with metastasis may present the following:
Lungs
- Pulmonary examination of patients with chondrosarcoma is usually normal, but patients with lung metastasis may present the following:[2]
- Decreased chest expansion
- Lungs are hyporesonant
- Decreased or absent breath sounds
Heart
- Cardiovascular examination of patients with chondrosarcoma is usually normal.
Abdomen
- Abdominal examination of patients with chondrosarcoma is usually normal.
Back
- Back examination of patients with chondrosarcoma is usually normal
- However, chondrosarcoma arising from pelvis may cause bowel obstruction leading to tender abdomen.
Genitourinary
- Genitourinary examination of patients with chondrosarcoma is usually normal.
However, chondrosarcoma arising from pelvis may cause bowel obstruction leading to tenderness in lower abdomen and urinary incontinence.
Neuromuscular
- Neuromuscular examination of patients with chondrosarcoma is usually normal.
Extremities
References
- ↑ 1.0 1.1 Lex JR, Evans S, Stevenson JD, Parry M, Jeys LM, Grimer RJ (2018). "Dedifferentiated chondrosarcoma of the pelvis: clinical outcomes and current treatment". Clin Sarcoma Res. 8: 23. doi:10.1186/s13569-018-0110-1. PMC 6293503. PMID 30559960.
- ↑ 2.0 2.1 Raymond E, L'Her P, Jeanbourquin D, Schill H, Jancovici R, Daly JP; et al. (1993). "[Chondrosarcoma of the thoracic wall. Review of the literature apropos of 4 cases]". Rev Pneumol Clin. 49 (1): 19–25. PMID 8378694.
- ↑ Peabody, Terrance (2014). Orthopaedic oncology : primary and metastatic tumors of the skeletal system. Cham: Springer. ISBN 9783319073224.
- ↑ Czerniak, Bogdan (2016). Dorfman and Czerniak's bone tumors. Philadelphia, PA: Elsevier/Saunders. ISBN 9780323023962.
- ↑ Weber KL, Raymond AK (2002). "Low-grade/dedifferentiated/high-grade chondrosarcoma: a case of histological and biological progression". Iowa Orthop J. 22: 75–80. PMC 1888368. PMID 12180616.