Peutz-Jeghers syndrome physical examination: Difference between revisions

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===Throat===
===Throat===
*Oral mucosa
*Oral mucosa
:*[[Mucocutaneous]] [[pigmentation]] causing patches of hyperpigmentation in the oral mucosa ([[gingiva]], [[hard palate]], [[buccal mucosa]], and labial mucosa)
:*[[Mucocutaneous]] [[pigmentation]] causing patches of hyperpigmentation in the oral mucosa ([[gingiva]], [[hard palate]], [[buccal mucosa]], and labial mucosa)<ref name="pmid25460448">{{cite journal| author=Hofmann S, Barth TF, Kornmann M, Henne-Bruns D| title=Appendix carcinoid associated with the Peutz-Jeghers syndrome. | journal=Int J Surg Case Rep | year= 2014 | volume= 5 | issue= 12 | pages= 964-7 | pmid=25460448 | doi=10.1016/j.ijscr.2014.06.024 | pmc=PMC4276270 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25460448  }} </ref>


[[File:PJS22.jpg|thumb|none|300px| Perioral and perinasal  hyperpigmentations ]]
[[File:PJS22.jpg|thumb|none|300px| Perioral and perinasal  hyperpigmentations ]]
===Neck===
===Neck===
*[[Lymph nodes]] may be present, if cancer develops
*[[Lymph nodes]] may be present, if cancer develops

Revision as of 16:03, 16 September 2015

Peutz-Jeghers syndrome Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]

Overview

Common physical examination findings of Peutz-Jeghers syndrome include mucocutaneous hyperpigmentation, abdominal tenderness due to intussusception, bowel obstruction, and pallor due to anemia.

Physical Examination

Appearance of the Patient

  • If cancer develops, patient may appear cachectic

Vitals

Temperature

  • Fever may be present, if cancer develops

Respiratory Rate

  • Tachypnea may be present, if lung cancer develops

Skin

  • Jaundice may be present, if pancreatic cancer develops

Eyes

Throat

  • Oral mucosa
Perioral and perinasal hyperpigmentations

Neck

Lungs

  • If lung cancer develops, the patient may present with the following:

Abdomen

Extremities

  • Patches of hyperpigmentation on the hands and feet
  • Clubbing may be present, if lung cancer develops
  • Cyanosis may be present, if lung cancer develops
Hyperpigmentations on the finger tips

References

  1. Hofmann S, Barth TF, Kornmann M, Henne-Bruns D (2014). "Appendix carcinoid associated with the Peutz-Jeghers syndrome". Int J Surg Case Rep. 5 (12): 964–7. doi:10.1016/j.ijscr.2014.06.024. PMC 4276270. PMID 25460448.

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