Non small cell lung cancer physical examination: Difference between revisions

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==Overview==
==Overview==
Common physical examination findings of non small cell lung cancer, include: [[tachypnea]], decreased [[breath sounds]], and [[lethargic]].<ref name=canadian>Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on February 20, 2016</ref>
 
Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with non-small cell lung cancer, include: crackling or bubbling noises, decreased/absent [[breath sounds]], whispered pectoriloquy, and tachypnea.<ref name="pmid4813837">{{cite journal |vauthors=Hyde L, Hyde CI |title=Clinical manifestations of lung cancer |journal=Chest |volume=65 |issue=3 |pages=299–306 |year=1974 |pmid=4813837 |doi= |url=}}</ref>


==Physical Examination==
==Physical Examination==
*The following physical examination findings may be present among patients with non-small cell lung cancer:<ref name="pmid4813837">{{cite journal |vauthors=Hyde L, Hyde CI |title=Clinical manifestations of lung cancer |journal=Chest |volume=65 |issue=3 |pages=299–306 |year=1974 |pmid=4813837 |doi= |url=}}</ref>
===General appearance===
===General appearance===
*Well-appearing
*Older age in relation to chronological age
*[[Lethargic]]
*[[Lethargic]]
*Emaciated
*Confused
*Confused


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* [[Tachypnea]]
* [[Tachypnea]]
* [[Tachycardia]]
* [[Tachycardia]]
* Low [[blood pressure]]


===Chest===
===Chest===
'''Inspection'''
*Performed in the anterior chest/posterior chest
*Hoarseness
*Rapid rate of breathing
'''Auscultation'''
*Present pleural friction rub
*Present egophony
*Crackling or bubbling noises
*Present whispered pectoriloquy
*Decreased/absent [[breath sounds]]
*Decreased/absent [[breath sounds]]
'''Percussion'''
*Hyporesonance
*Dull percussion
*Tactile fremitus
*Reduced chest expansion


===Abdomen===
===Abdomen===
*[[Hepatomegaly]]
*[[Hepatomegaly]]
*[[Ascites]]


===Skeletal===
===Musculoskeletal===
*[[Bone pain]]
* Palpable soft-tissue mass
*[[Fractures]]


===Skin===
===Skin===
*[[Pallor]]
*[[Pallor]]
*[[Jaundice]]


===HEENT===
===HEENT===
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===CNS===
===CNS===
*[[Cranial nerve]] palsies
*Slurred speech
*Confusion


===Extremities===
===Extremities===
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*[[Swelling]] of hands and feet
*[[Swelling]] of hands and feet
*[[Weakness]]
*[[Weakness]]
*[[Hemiplegia]]


==References==
==References==

Revision as of 15:49, 24 February 2016

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

Overview

Physical examination findings of non-small cell lung cancer will depend on the location of the tumor. Non-small cell lung cancer with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with non-small cell lung cancer, include: crackling or bubbling noises, decreased/absent breath sounds, whispered pectoriloquy, and tachypnea.[1]

Physical Examination

  • The following physical examination findings may be present among patients with non-small cell lung cancer:[1]

General appearance

  • Well-appearing
  • Older age in relation to chronological age
  • Lethargic
  • Confused

Vital Signs

Chest

Inspection

  • Performed in the anterior chest/posterior chest
  • Hoarseness
  • Rapid rate of breathing

Auscultation

  • Present pleural friction rub
  • Present egophony
  • Crackling or bubbling noises
  • Present whispered pectoriloquy
  • Decreased/absent breath sounds

Percussion

  • Hyporesonance
  • Dull percussion
  • Tactile fremitus
  • Reduced chest expansion

Abdomen

Musculoskeletal

  • Palpable soft-tissue mass

Skin

HEENT

CNS

  • Slurred speech
  • Confusion

Extremities

References

  1. ↑ 1.0 1.1 Hyde L, Hyde CI (1974). "Clinical manifestations of lung cancer". Chest. 65 (3): 299–306. PMID 4813837.


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