Wilms' tumor physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]

Overview

On abdominal examination a painless mass may be palpated in the flank.

Physical Examination

Vital Signs

• High blood pressure
• Fever

HEENT

• Aniridia may be present

Abdominal

• A palpable abdominal mass may be present.
  • Examination of the mass should be done cautiously.
  • If too much force is used then the mass rupture and lead to hemorrhagic bleeding into the peritoneal cavity.
  • Mass is eccentrically located.
  • It rarely crosses the midline.

Neurmuscular

• Mental retardation may be present

Genitourinary

• Genitourinary malformations may be present.