Lung mass physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination findings of lung masses will depend on the location of the tumor. Lung masses with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. | Physical examination findings of lung masses will depend on the location of the tumor. Lung masses with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. Lung masses with peripheral location can present with [[pleurisy]] findings, such as reduced [[chest expansion]]. Common physical examination of patients with lung masses, include: crackling or bubbling noises, decreased/absent [[breath sounds]], and whispered pectoriloquy.<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== |
Revision as of 20:28, 22 March 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 lung masses will depend on the location of the tumor. Lung masses with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Lung masses with peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with lung masses, include: crackling or bubbling noises, decreased/absent breath sounds, and whispered pectoriloquy.[1]
Physical Examination
- The following physical examination findings may be present among patients with lung masses:[1]
General appearance
- Well-appearing
- Older age in relation to chronological age
- Lethargic
- Confused
Vital Signs
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
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