Gastrointestinal stromal tumor physical examination: Difference between revisions
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===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with GIST usually appear tired. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* | *Low-grade fever | ||
*[[Hypothermia]] | *[[Hypothermia]] may be present | ||
*[[Tachycardia]] with regular | *[[Tachycardia]] with regular pulse | ||
*Tachypnea | |||
*Tachypnea | *Low blood pressure | ||
* | |||
===Skin=== | ===Skin=== | ||
*[[Jaundice]] | |||
*[[Jaundice]] | |||
* [[Pallor]] | * [[Pallor]] | ||
<gallery widths=150px> | <gallery widths="150px"> | ||
UploadedImage-01.jpg | Description {{dermref}} | UploadedImage-01.jpg | Description {{dermref}} | ||
| Line 61: | Line 56: | ||
===HEENT=== | ===HEENT=== | ||
* Icteric sclera (seen in obstructive duodenal GIST) | |||
* Icteric sclera | |||
===Neck=== | ===Neck=== | ||
*[[Lymphadenopathy]] (rare) | |||
*[[Lymphadenopathy]] ( | |||
===Lungs=== | ===Lungs=== | ||
Revision as of 17:16, 8 December 2017
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Gastrointestinal stromal tumor Microchapters |
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Differentiating Gastrointestinal stromal tumor from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Gastrointestinal stromal tumor physical examination On the Web |
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American Roentgen Ray Society Images of Gastrointestinal stromal tumor physical examination |
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Gastrointestinal stromal tumor physical examination in the news |
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Blogs on Gastrointestinal stromal tumor physical examination |
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Directions to Hospitals Treating Gastrointestinal stromal tumor |
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Risk calculators and risk factors for Gastrointestinal stromal tumor physical examination |
melena hematochezia hematemesis, abdominal fullness, palpable mass. dysphagia (GISTs in proximal stomach) gastric outlet obstruction( tumors in pylorus) hemoperitoneum(intraperitoneal rupture of large tumor).
GISTs can occur as part of a syndrome; Carneys triad (gastric GIST, pulmonary chondroma, paraganglioma), or neurofibromatosis type 1 (mostly spindle cell GIST)[27].
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 [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Appearance of the Patient
- Patients with GIST usually appear tired.
Vital Signs
- Low-grade fever
- Hypothermia may be present
- Tachycardia with regular pulse
- Tachypnea
- Low blood pressure
Skin
-
Description (Adapted from Dermatology Atlas)
-
Description (Adapted from Dermatology Atlas)
HEENT
- Icteric sclera (seen in obstructive duodenal GIST)
Neck
- Lymphadenopathy (rare)
Lungs
- Asymmetric chest expansion / Decreased chest expansion
- Lungs are hypo/hyperresonant
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- Rhonchi
- Vesicular breath sounds / Distant breath sounds
- Expiratory/inspiratory wheezing with normal / delayed expiratory phase
- Wheezing may be present
- Egophony present/absent
- Bronchophony present/absent
- Normal/reduced tactile fremitus
Heart
- Chest tenderness upon palpation
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S1
- S2
- S3
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen
- Abdominal distention
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness (positive Blumberg sign)
- A palpable abdominal mass in the right/left upper/lower abdominal quadrant
- Guarding may be present
- Hepatomegaly / splenomegaly / hepatosplenomegaly
- Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
Back
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is ___ / 15
- Clonus may be present
- Hyperreflexia / hyporeflexia / areflexia
- Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally/bilaterally
- ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
- Unilateral/bilateral upper/lower extremity weakness
- Unilateral/bilateral sensory loss in the upper/lower extremity
- Positive straight leg raise test
- Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
- Positive/negative Trendelenburg sign
- Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
- Normal finger-to-nose test / Dysmetria
- Absent/present dysdiadochokinesia (palm tapping test)
Extremities
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity