Astrocytoma physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
NOTE: Based on the location of the tumor,we might have different signs and symptoms. | |||
=== Appearance of the Patient === | === Appearance of the Patient === | ||
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=== Vital Signs === | === Vital Signs === | ||
Tumors which are located in the brain stem can cause heart rate and blood pressure disturbance: | |||
* [[Tachycardia]] or bradycardia | |||
* [[Tachycardia]] | * Orthostatic hypotension | ||
* | |||
=== Skin === | === Skin === | ||
* Skin examination of patients with | * Skin examination of patients with astrocytoma is usually normal. | ||
=== HEENT === | === HEENT === | ||
* Hearing acuity may be reduced | * Hearing acuity may be reduced | ||
| Line 63: | Line 50: | ||
* Hyperreflexia may be present | * Hyperreflexia may be present | ||
* Muscle rigidity | * Muscle rigidity | ||
* Proximal/distal muscle weakness unilaterally | * Proximal/distal muscle weakness unilaterally or bilaterally | ||
* Cranial nerve involvement may be present. | * Cranial nerve involvement may be present. | ||
* Unilateral/bilateral sensory loss in the upper/lower extremity | * Unilateral/bilateral sensory loss in the upper/lower extremity | ||
* Abnormal gait may be present (trunkal ataxia) | * Abnormal gait may be present (trunkal ataxia) | ||
* Positive | * Positive Trendelenburg sign may be present | ||
* Unilateral/bilateral tremor | * Unilateral/bilateral tremor | ||
* | * Dysmetria may be present | ||
=== Extremities === | === Extremities === | ||
Revision as of 16:25, 7 January 2019
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Risk calculators and risk factors for Astrocytoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
Physical Examination
NOTE: Based on the location of the tumor,we might have different signs and symptoms.
Appearance of the Patient
- Patients are usually well appearing and can have gait disturbances[1]
Vital Signs
Tumors which are located in the brain stem can cause heart rate and blood pressure disturbance:
- Tachycardia or bradycardia
- Orthostatic hypotension
Skin
- Skin examination of patients with astrocytoma is usually normal.
HEENT
- Hearing acuity may be reduced
- Nystagmus may be present
- Extra-ocular movements may be abnormal
- Pupils may not react to light
- Ophthalmoscopic exam may be abnormal with findings of papilledema such as swollen disc, blurry vision, venous engorgement
Neck
- Head tilt may be present
Lungs
- Pulmonary examination of patients with astrocytoma is usually normal.
Heart
- Cardiovascular examination of patients with astrocytoma is usually normal.
Abdomen
- Abdominal examination of patients with astrocytoma is usually normal.
Back
- Back examination of patients with astrocytoma is usually normal.
Genitourinary
- Genitourinary examination of patients with astrocytoma is usually normal.
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is 15 / 15
- Clonus may be present
- Hyperreflexia may be present
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally or bilaterally
- Cranial nerve involvement may be present.
- Unilateral/bilateral sensory loss in the upper/lower extremity
- Abnormal gait may be present (trunkal ataxia)
- Positive Trendelenburg sign may be present
- Unilateral/bilateral tremor
- Dysmetria may be present
Extremities
- Extremities examination of patients with astrocytoma is usually normal.
References
- ↑ Forbes JA, Mobley BC, O'Lynnger TM, Cooper CM, Ghiassi M, Hanif R; et al. (2011). "Pediatric cerebellar pilomyxoid-spectrum astrocytomas". J Neurosurg Pediatr. 8 (1): 90–6. doi:10.3171/2011.4.PEDS1115. PMC 3779306. PMID 21721894.