Pancreatic cancer physical examination: Difference between revisions
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:*The initial presentation varies according to location of the cancer. | :*The initial presentation varies according to location of the cancer. | ||
::*Malignancies in the pancreatic body or tail usually present with tenderness and weight loss, while those in the head of the gland typically present with [[steatorrhea]], weight loss, and [[jaundice]]. The recent onset of atypical [[Diabetes Mellitus]] | ::*Malignancies in the pancreatic body or tail usually present with tenderness and weight loss, while those in the head of the gland typically present with [[steatorrhea]], weight loss, and [[jaundice]]. The recent onset of atypical [[Diabetes Mellitus]]. | ||
::*[[Courvoisier's law|Courvoisier sign]] defines the presence of jaundice and a painlessly distended [[gallbladder]] as strongly indicative of pancreatic cancer, and may be used to distinguish pancreatic cancer from [[gallstone]]s. | ::*[[Courvoisier's law|Courvoisier sign]] defines the presence of jaundice and a painlessly distended [[gallbladder]] as strongly indicative of pancreatic cancer, and may be used to distinguish pancreatic cancer from [[gallstone]]s. | ||
::*[[Trousseau sign of malignancy|Trousseau's syndrome]], in which blood clots form spontaneously in the [[portal venous system|portal blood vessels]], the deep veins of the extremities, or the superficial veins anywhere on the body, may be associated with pancreatic cancer, and is found in about 10% of cases. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 15:09, 20 August 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2];Parminder Dhingra, M.D. [3]
Overview
During physical examination, a clinician may find characteristics of pancreatic cancer in a patient. These include: tenderness, weight loss, or jaundice.
Physical Examination
- The initial presentation varies according to location of the cancer.
- Malignancies in the pancreatic body or tail usually present with tenderness and weight loss, while those in the head of the gland typically present with steatorrhea, weight loss, and jaundice. The recent onset of atypical Diabetes Mellitus.
- Courvoisier sign defines the presence of jaundice and a painlessly distended gallbladder as strongly indicative of pancreatic cancer, and may be used to distinguish pancreatic cancer from gallstones.
- Trousseau's syndrome, in which blood clots form spontaneously in the portal blood vessels, the deep veins of the extremities, or the superficial veins anywhere on the body, may be associated with pancreatic cancer, and is found in about 10% of cases.