Astrocytoma physical examination: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Ammu Susheela (talk | contribs)
nocaptcha, Administrators
14,466 edits
No edit summary
Ammu Susheela (talk | contribs)
nocaptcha, Administrators
14,466 edits
No edit summary
Line 5: Line 5:
==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
===Appearance of the Patient===
*This section should give a general description of what a patient with the disease you are describing may look like. You may include a physical description such as obese, thin, cachectic, well appearing, ill appearing, diaphoretic etc.
* Patients are usually well appearing and can have gait disturbances


===Vitals===
===Vitals===
====Temperature====
*A [[fever]] is often present
*[[Hypothermia]] may be present
====Pulse====
====Pulse====
=====Rate=====
=====Rate=====
*[[Tachycardia]] may be present
*[[Bradycardia]] may be present
*[[Bradycardia]] may be present
=====Rhythm=====
*The pulse is regular
*The pules is irregularly irregular
=====Strength=====
*The pulse may be weak
*The pulse may be bounding
*The pulse may be alternating in strength ([[pulsus alternans]])
*A [[paradoxical pulse]] may be present
=====Symmetry=====
*The pulses may be asymmetric


====Blood Pressure====
====Blood Pressure====
*[[Hypotension]] may be present
*[[Hypotension]] may be present
*[[Hypertension]] may be present
*A [[wide pulse pressure]] may be present
*A [[narrow pulse pressure]] may be present


====Respiratory Rate====
====Respiratory Rate====
*[[Tachypnea]] may be present
*[[Bradypnea]] may be present
*[[Bradypnea]] may be present
* [[Kussmaul respirations]] may be present
 


===Skin===
===Skin===
*[[Cyanosis]] may be present
*[[Jaundice]] may be present
* A rash may be present
* [[Pallor]] may be present
* Lesions may be present
* Lesions may be present


Line 52: Line 28:


</gallery>
</gallery>
===Head===
* Abnormalities of the head/hair may include ___
* There may be evidence of trauma


===Eyes===
===Eyes===
*Icteric sclera may be present
* [[Nystagmus]] may be present
* [[Nystagmus]] may be present.
* Extra-ocular movements may be abnormal
* Extra-ocular movements may be abnormal
*Pupils may not react to light
* Pupils may not react to light
*Ophthalmoscopic exam may be abnormal with findings of ___
* Ophthalmoscopic exam may be abnormal with findings of papilledema such as swollen disc, blurry vision, venous engorgement,


===Ears===
===Ears===
* Hearing acuity may be reduced
* Hearing acuity may be reduced
*[[Weber test]] may be positive
*[[Rinne test]] may be positive
* There may be [[exudate]] from the ear canal
* There may be [[tenderness]] on movement of the pinnae
===Nose===
* Nares may be inflamed
* There may be [[epistaxis]]
* There may be [[purulent]] exudate from the nares
* There may be [[tenderness]] to percussion of the sinuses
* The nares may be congested
===Throat===
* The throat may be erythematous
* There may be [[exudate]] in the throat
* There may be [[petechiae]] seen in the throat
* There may be tonsillar inflammation


===Neck===
===Neck===
*[[Jugular venous pressure]] may be elevated
*[[Carotid bruits]] may be present
*[[Lymph nodes]] may be present
*[[Lymph nodes]] may be present
*[[Thyromegaly]] may be present
*[[Hepatojugular reflux]] may be present
===Lungs===
*[[Pulmonary edema]] and [[rales]] may be present
*[[Wheezing]] may be present
*Consolidation may be present with reduced breath sounds auscultated
*[[Rales]] may be present
*[[Egophony]] may be present
* Chest movement may be assymetric
===Heart===
*A [[heave]] may be present
*A [[thrill]] may be present
*A [[friction rub]] may be pressent
====Auscultation====
*[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
*[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
*[[Heart sounds#Third heart sound S3|S3]]
*[[Heart sounds#Fourth heart sound S4|S4]]
*[[Heart sounds#Summation Gallop|Gallops]]
*A [[systolic murmur]] best heard at the base may be present
*A [[systolic murmur]] best heard at the apex may be present
*A [[diastolic murmur]] may be present
===Abdomen===
*[[Abdominal distention]] may be present
*[[Abdominal tenderness]] may be present
*[[Rebound tenderness]] may be present
*An [[acute abdomen]] may be present
*An abdominal mass may be present
*Guarding may be present
*[[Hepatomegaly]] may be present
*[[Splenomegaly]] may be present
*Genitourinary exam if relevant
===Extremities===
*[[Clubbing]] may be present
*[[Cyanosis]] may be present
*[[Edema]] may be present


===Neurologic===
===Neurologic===
* Mental status may be altered
* Mental status may be normal. Patient is alert, concious and oriented.
* Glasgow coma scale is ___
* Trunkal ataxia may be present
* Clonus may be present
* Hyperactive reflexes may be present
* Hyperactive reflexes may be present
* There are deficits in cranial nerves ___
* Abducens nerve palsy
==References==
==References==


Revision as of 16:15, 23 August 2015

Astrocytoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Astrocytoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-Ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Study

Case #1

Astrocytoma physical examination On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Astrocytoma physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Astrocytoma physical examination

CDC on Astrocytoma physical examination

Astrocytoma physical examination in the news

Blogs on Astrocytoma physical examination

Directions to Hospitals Treating Astrocytoma

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

Appearance of the Patient

  • Patients are usually well appearing and can have gait disturbances

Vitals

Pulse

Rate

Blood Pressure

Respiratory Rate


Skin

  • Lesions may be present

Eyes

  • 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,

Ears

  • Hearing acuity may be reduced

Neck

Neurologic

  • Mental status may be normal. Patient is alert, concious and oriented.
  • Trunkal ataxia may be present
  • Hyperactive reflexes may be present
  • Abducens nerve palsy

References

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Astrocytoma_physical_examination&oldid=1141143"