Carcinoid syndrome physical examination

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

Overview

Physical examination of patients with carcinoid tumor is usually remarkable for flushing, hirsutism, and pallor. During examination, evidence of T.I.P.S. - tricuspid insufficency pulmonic stenosis may appear.

Vitals

Pulse

Rate

• Tachycardia may be present

Blood Pressure

• Hypertension and significant fluctuations in blood pressure may be present

Skin

• Flushing may be present
• Hirsutism may be present
• Pallor may be present

Neck

• Lymph nodes may be present

Lungs

• Wheezing may be present

Heart

• 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

Extremities

• Edema may be present

References

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