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__NOTOC__
__NOTOC__
{{Smoking}}
{{Smoking}}
{{CMG}}; {{AE}}{{USAMA}}
{{CMG}}; {{AE}}


==Overview==
==Overview==
The physical examination of a patient who [[smoke]]s may have [[tachycardia]], [[hypertension]], [[tachypnea]], smoke-odored clothing, stained teeth or [[fingernails]], hoarse voice and [[wheezing]].<ref name="pmid20093278">{{cite journal| author=Parsons A, Daley A, Begh R, Aveyard P| title=Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. | journal=BMJ | year= 2010 | volume= 340 | issue=  | pages= b5569 | pmid=20093278 | doi=10.1136/bmj.b5569 | pmc=2809841 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20093278  }} </ref><ref name="pmid10362820">{{cite journal| author=Iribarren C, Tekawa IS, Sidney S, Friedman GD| title=Effect of cigar smoking on the risk of cardiovascular disease, chronic obstructive pulmonary disease, and cancer in men. | journal=N Engl J Med | year= 1999 | volume= 340 | issue= 23 | pages= 1773-80 | pmid=10362820 | doi=10.1056/NEJM199906103402301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10362820  }} </ref><ref name="pmid10218507">{{cite journal| author=Boffetta P, Pershagen G, Jöckel KH, Forastiere F, Gaborieau V, Heinrich J et al.| title=Cigar and pipe smoking and lung cancer risk: a multicenter study from Europe. | journal=J Natl Cancer Inst | year= 1999 | volume= 91 | issue= 8 | pages= 697-701 | pmid=10218507 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10218507  }} </ref><ref name="pmid15173269">{{cite journal| author=Henley SJ, Thun MJ, Chao A, Calle EE| title=Association between exclusive pipe smoking and mortality from cancer and other diseases. | journal=J Natl Cancer Inst | year= 2004 | volume= 96 | issue= 11 | pages= 853-61 | pmid=15173269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15173269  }} </ref>
The physical examination of a patient who [[smoke]]s may show tachycardia, hypertension, tachypnea, smoke-odored clothing, stained teeth or fingernails, hoarse voice and wheezing.<ref name="pmid20093278">{{cite journal| author=Parsons A, Daley A, Begh R, Aveyard P| title=Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. | journal=BMJ | year= 2010 | volume= 340 | issue=  | pages= b5569 | pmid=20093278 | doi=10.1136/bmj.b5569 | pmc=2809841 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20093278  }} </ref><ref name="pmid10362820">{{cite journal| author=Iribarren C, Tekawa IS, Sidney S, Friedman GD| title=Effect of cigar smoking on the risk of cardiovascular disease, chronic obstructive pulmonary disease, and cancer in men. | journal=N Engl J Med | year= 1999 | volume= 340 | issue= 23 | pages= 1773-80 | pmid=10362820 | doi=10.1056/NEJM199906103402301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10362820  }} </ref><ref name="pmid10218507">{{cite journal| author=Boffetta P, Pershagen G, Jöckel KH, Forastiere F, Gaborieau V, Heinrich J et al.| title=Cigar and pipe smoking and lung cancer risk: a multicenter study from Europe. | journal=J Natl Cancer Inst | year= 1999 | volume= 91 | issue= 8 | pages= 697-701 | pmid=10218507 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10218507  }} </ref><ref name="pmid15173269">{{cite journal| author=Henley SJ, Thun MJ, Chao A, Calle EE| title=Association between exclusive pipe smoking and mortality from cancer and other diseases. | journal=J Natl Cancer Inst | year= 2004 | volume= 96 | issue= 11 | pages= 853-61 | pmid=15173269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15173269  }} </ref>


==Physical Examination==
==Physical Examination==
The physical examination of a patient who [[smoke]]s may yield the following findings:<ref name="pmid20093278">{{cite journal| author=Parsons A, Daley A, Begh R, Aveyard P| title=Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. | journal=BMJ | year= 2010 | volume= 340 | issue=  | pages= b5569 | pmid=20093278 | doi=10.1136/bmj.b5569 | pmc=2809841 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20093278  }} </ref><ref name="pmid10362820">{{cite journal| author=Iribarren C, Tekawa IS, Sidney S, Friedman GD| title=Effect of cigar smoking on the risk of cardiovascular disease, chronic obstructive pulmonary disease, and cancer in men. | journal=N Engl J Med | year= 1999 | volume= 340 | issue= 23 | pages= 1773-80 | pmid=10362820 | doi=10.1056/NEJM199906103402301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10362820  }} </ref><ref name="pmid10218507">{{cite journal| author=Boffetta P, Pershagen G, Jöckel KH, Forastiere F, Gaborieau V, Heinrich J et al.| title=Cigar and pipe smoking and lung cancer risk: a multicenter study from Europe. | journal=J Natl Cancer Inst | year= 1999 | volume= 91 | issue= 8 | pages= 697-701 | pmid=10218507 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10218507  }} </ref><ref name="pmid15173269">{{cite journal| author=Henley SJ, Thun MJ, Chao A, Calle EE| title=Association between exclusive pipe smoking and mortality from cancer and other diseases. | journal=J Natl Cancer Inst | year= 2004 | volume= 96 | issue= 11 | pages= 853-61 | pmid=15173269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15173269  }} </ref>
The physical examination of a patient who [[smoke]]s may yield the following findings:<ref name="pmid20093278">{{cite journal| author=Parsons A, Daley A, Begh R, Aveyard P| title=Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. | journal=BMJ | year= 2010 | volume= 340 | issue=  | pages= b5569 | pmid=20093278 | doi=10.1136/bmj.b5569 | pmc=2809841 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20093278  }} </ref><ref name="pmid10362820">{{cite journal| author=Iribarren C, Tekawa IS, Sidney S, Friedman GD| title=Effect of cigar smoking on the risk of cardiovascular disease, chronic obstructive pulmonary disease, and cancer in men. | journal=N Engl J Med | year= 1999 | volume= 340 | issue= 23 | pages= 1773-80 | pmid=10362820 | doi=10.1056/NEJM199906103402301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10362820  }} </ref><ref name="pmid10218507">{{cite journal| author=Boffetta P, Pershagen G, Jöckel KH, Forastiere F, Gaborieau V, Heinrich J et al.| title=Cigar and pipe smoking and lung cancer risk: a multicenter study from Europe. | journal=J Natl Cancer Inst | year= 1999 | volume= 91 | issue= 8 | pages= 697-701 | pmid=10218507 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10218507  }} </ref><ref name="pmid15173269">{{cite journal| author=Henley SJ, Thun MJ, Chao A, Calle EE| title=Association between exclusive pipe smoking and mortality from cancer and other diseases. | journal=J Natl Cancer Inst | year= 2004 | volume= 96 | issue= 11 | pages= 853-61 | pmid=15173269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15173269  }} </ref>
===General Examination===
===General Examination===
*Tired apearance
*[[Fatigue]d look
*Smoke-odored clothing
*Smoke-odored clothing
*Hoarse voice
*Hoarse voice
Line 18: Line 18:
*[[Tachypnea]]
*[[Tachypnea]]


===Orofacial===
==Orofacial==
*Stained [[teeth]] or fingernails
*Stained teeth or fingernails
*[[Tooth]] loss
*Tooth loss
*Gum stains
*Gum stains
*Gum bleeding
*Gum bleeding


===Cardiovascular System===
===Cardiovascular System===
*Normal [[S1]] and [[S2]]
*Variable [[EKG]] changes
===Abdomen===
*Epigastric tenderness


===Respiratory System===
===Respiratory System===
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*[[Wheezing]]
*[[Wheezing]]
*[[Crackles]]
*[[Crackles]]
===OBGYN===
*[[Low birth weight]]
*[[Ectopic pregnancy]]


===Ophthalmology===
===Ophthalmology===
Line 41: Line 43:
*[[Arthritis]]
*[[Arthritis]]


===Neurological and Psychiatric===
 
==Neurological and Psychiatric==
*[[Depression]]
*[[Depression]]
*[[Dysphoria]]
*[[Dysphoria]]
*[[Anxiety]]
*[[Anxiety]]
===Pregnancy===
 
*[[Fundal height]] not corresponding to the [[Gestation period|period of gestation]], suggests [[IUGR|intra uterine growth restriction]].
 
==Gatsrointestinal==
*[[Weight loss]]


==References==
==References==

Revision as of 21:47, 31 May 2017

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Case #1

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

Overview

The physical examination of a patient who smokes may show tachycardia, hypertension, tachypnea, smoke-odored clothing, stained teeth or fingernails, hoarse voice and wheezing.[1][2][3][4]

Physical Examination

The physical examination of a patient who smokes may yield the following findings:[1][2][3][4]

General Examination

  • [[Fatigue]d look
  • Smoke-odored clothing
  • Hoarse voice

Vitals

Orofacial

  • Stained teeth or fingernails
  • Tooth loss
  • Gum stains
  • Gum bleeding

Cardiovascular System

  • Variable EKG changes

Respiratory System

OBGYN

Ophthalmology

Musculoskeletal


Neurological and Psychiatric


Gatsrointestinal

References

  1. ↑ 1.0 1.1 Parsons A, Daley A, Begh R, Aveyard P (2010). "Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis". BMJ. 340: b5569. doi:10.1136/bmj.b5569. PMC 2809841. PMID 20093278.
  2. ↑ 2.0 2.1 Iribarren C, Tekawa IS, Sidney S, Friedman GD (1999). "Effect of cigar smoking on the risk of cardiovascular disease, chronic obstructive pulmonary disease, and cancer in men". N Engl J Med. 340 (23): 1773–80. doi:10.1056/NEJM199906103402301. PMID 10362820.
  3. ↑ 3.0 3.1 Boffetta P, Pershagen G, Jöckel KH, Forastiere F, Gaborieau V, Heinrich J; et al. (1999). "Cigar and pipe smoking and lung cancer risk: a multicenter study from Europe". J Natl Cancer Inst. 91 (8): 697–701. PMID 10218507.
  4. ↑ 4.0 4.1 Henley SJ, Thun MJ, Chao A, Calle EE (2004). "Association between exclusive pipe smoking and mortality from cancer and other diseases". J Natl Cancer Inst. 96 (11): 853–61. PMID 15173269.

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