Neuroblastoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Neuroblastoma}} | {{Neuroblastoma}} | ||
{{CMG}} {{AE}}{{HL}} | {{CMG}} {{AE}}{{ZAS}}{{HL}} | ||
==Overview== | ==Overview== | ||
A positive finding of a palpable [[abdominal mass]], [[fever]], and purple skin patches is suggestive of neuroblastoma | A positive finding of a palpable [[abdominal mass]], [[fever]], and purple skin patches is suggestive of neuroblastoma | ||
==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | ===General Appearance=== | ||
* Neuroblastoma patients often appear fatigued | * Neuroblastoma patients often appear fatigued.<ref name="O"> Neuroblastoma Childhood: Symptoms and Signs. Cancer.net http://www.cancer.net/cancer-types/neuroblastoma-childhood/symptoms-and-signs Accessed on October, 7 2015</ref><ref name="gov"> Neuroblastoma Treatment for health professionals. National Cancer Institute (2015) http://www.cancer.gov/types/neuroblastoma/hp/neuroblastoma-treatment-pdq#link/_534_toc Accessed on October, 7 2015</ref><ref name="pmid21736987">{{cite journal| author=Colon NC, Chung DH| title=Neuroblastoma. | journal=Adv Pediatr | year= 2011 | volume= 58 | issue= 1 | pages= 297-311 | pmid=21736987 | doi=10.1016/j.yapd.2011.03.011 | pmc=PMC3668791 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21736987 }} </ref> | ||
===Vital Signs=== | ===Vital Signs=== |
Revision as of 19:00, 18 February 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zahir Ali Shaikh, MD[2]Haytham Allaham, M.D. [3]
Overview
A positive finding of a palpable abdominal mass, fever, and purple skin patches is suggestive of neuroblastoma
Physical Examination
General Appearance
Vital Signs
- Fever
- Elevated blood pressure
- Tachycardia
Skin
- Pallor may be present
- Ecchymoses may be present
- Purple skin patches may be present
- Subcutaneous nodules may be present
HEENT
- Periorbital ecchymosis may be present
- Visual defects may be present
- Conjuctival pallor may be present
- Nystagmus may be present
- Proptosis may be present
- Ptosis may be present
- Miosis may be present
- Anhidrosis may be present
Abdomen
- Abdominal mass may be palpated
Skeletal
CNS
- Motor weakness may be present
- Sensory loss may be present
- Paralysis may be present
- Ataxia may be present
References
- ↑ Neuroblastoma Childhood: Symptoms and Signs. Cancer.net http://www.cancer.net/cancer-types/neuroblastoma-childhood/symptoms-and-signs Accessed on October, 7 2015
- ↑ Neuroblastoma Treatment for health professionals. National Cancer Institute (2015) http://www.cancer.gov/types/neuroblastoma/hp/neuroblastoma-treatment-pdq#link/_534_toc Accessed on October, 7 2015
- ↑ Colon NC, Chung DH (2011). "Neuroblastoma". Adv Pediatr. 58 (1): 297–311. doi:10.1016/j.yapd.2011.03.011. PMC 3668791. PMID 21736987.