Insulinoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Insulinoma}} | {{Insulinoma}} | ||
{{CMG}}; {{AE}} {{ | {{CMG}}; {{AE}} {{PSD}} | ||
==Overview== | ==Overview== | ||
Physical examination of patients with | Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3]. | ||
OR | |||
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3]. | |||
OR | |||
The presence of [finding(s)] on physical examination is diagnostic of [disease name]. | |||
OR | |||
The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | |||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with insulinoma is usually unremarkable. | *Physical examination of patients with insulinoma is usually unremarkable. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with insulinoma usually appear | *Patients with insulinoma usually appear [general appearance]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* | *High-grade / low-grade fever- None | ||
* | *[[Tachycardia]] with regular pulse- can be tachycardic/bradycardic | ||
* | *[[Bradycardia]] with regular pulse | ||
* | *Tachypnea / bradypnea | ||
===Skin=== | ===Skin=== | ||
* can have sweating | * can have sweating | ||
<gallery widths=150px> | |||
UploadedImage-01.jpg | Description {{dermref}} | |||
UploadedImage-02.jpg | Description {{dermref}} | |||
</gallery> | |||
===HEENT=== | ===HEENT=== | ||
* No abnormalities of the head/hair | * No abnormalities of the head/hair | ||
* No evidence of trauma | * No evidence of trauma | ||
* Normal sclera | * Normal sclera | ||
* No [[Nystagmus]] | * No[[Nystagmus]] | ||
* Extra-ocular movements are normal | * Extra-ocular movements are normal | ||
* Pupils -reactive to light and to accommodation | * Pupils -reactive to light and to accommodation | ||
* Ophthalmoscopic exam may be normal | *Ophthalmoscopic exam may be normal with finding. | ||
* Hearing acuity is fine | * Hearing acuity is fine | ||
*[[Weber test]] is normal. | *[[Weber test]] is normal. | ||
* No tenderness upon palpation of the ear pinnae/tragus | * No tenderness upon palpation of the ear pinnae / tragus | ||
* No facial tenderness | * No facial tenderness | ||
* No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae | * No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae | ||
| Line 40: | Line 57: | ||
*Unremarkable | *Unremarkable | ||
===Lungs=== | ===Lungs=== | ||
* Symmetric chest expansion | * Symmetric chest expansion | ||
*Lungs are hypo/hyperresonant | *Lungs are hypo/hyperresonant | ||
*No [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally | *No[[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally | ||
*No Rhonchi | *No Rhonchi | ||
*Normal Vesicular breath sounds | *Normal Vesicular breath sounds | ||
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===Heart=== | ===Heart=== | ||
*PMI within 2 cm of the sternum (PMI) | *PMI within 2 cm of the sternum (PMI) | ||
* | *[[Heave]] / [[thrill]]can bedue to palpitations | ||
* | *[[Friction rub]] | ||
*Normal [[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]] | *Normal[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]] | ||
*Normal [[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]] | *Normal[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]] | ||
*No [[Heart sounds#Third heart sound S3|S3]] | *No[[Heart sounds#Third heart sound S3|S3]] | ||
*No [[Heart sounds#Fourth heart sound S4|S4]] | *No[[Heart sounds#Fourth heart sound S4|S4]] | ||
*No [[Heart sounds#Summation Gallop|Gallops]] | *No[[Heart sounds#Summation Gallop|Gallops]] | ||
*No high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope | *No high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope | ||
===Abdomen=== | ===Abdomen=== | ||
*No [[Abdominal distention]] | *No[[Abdominal distention]] | ||
*No [[Rebound tenderness]] (positive Blumberg sign) | *No[[Rebound tenderness]] (positive Blumberg sign) | ||
*No palpable abdominal mass in the right/left upper/lower abdominal quadrant | *No palpable abdominal mass in the right/left upper/lower abdominal quadrant | ||
*No guarding | *No guarding | ||
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===Back=== | ===Back=== | ||
*No tendernes | |||
*No | |||
*No sacral edema | *No sacral edema | ||
*No costovertebral angle tenderness bilaterally/unilaterally | *No costovertebral angle tenderness bilaterally/unilaterally | ||
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===Genitourinary=== | ===Genitourinary=== | ||
*No pelvic/adnexal mass. | *No pelvic/adnexal mass. | ||
*Normal mucosa | *Normal mucosa | ||
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===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to persons, place, and time | *Patient is usually oriented to persons, place, and time | ||
* Altered mental status- can have | * Altered mental status- can have altered mental status | ||
* Glasgow coma scale is | * Glasgow coma scale is ___ / 15. Can be comatosed | ||
* Unilateral/bilateral fine | * Unilateral/bilateral fine tremors can be present | ||
* Normal finger-to-nose test | * Normal finger-to-nose test | ||
===Extremities=== | ===Extremities=== | ||
*No[[Clubbing]] | |||
*No [[Clubbing]] | *No[[Cyanosis]] | ||
*No [[Cyanosis]] | |||
*No pitting/non-pitting [[edema]] of the upper/lower extremities | *No pitting/non-pitting [[edema]] of the upper/lower extremities | ||
*No muscle atrophy | *No muscle atrophy | ||
Revision as of 18:24, 17 August 2017
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Insulinoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Insulinoma physical examination On the Web |
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American Roentgen Ray Society Images of Insulinoma physical examination |
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Risk calculators and risk factors for Insulinoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- Physical examination of patients with insulinoma is usually unremarkable.
Appearance of the Patient
- Patients with insulinoma usually appear [general appearance].
Vital Signs
- High-grade / low-grade fever- None
- Tachycardia with regular pulse- can be tachycardic/bradycardic
- Bradycardia with regular pulse
- Tachypnea / bradypnea
Skin
- can have sweating
-
Description (Adapted from Dermatology Atlas)
-
Description (Adapted from Dermatology Atlas)
HEENT
- No abnormalities of the head/hair
- No evidence of trauma
- Normal sclera
- NoNystagmus
- Extra-ocular movements are normal
- Pupils -reactive to light and to accommodation
- Ophthalmoscopic exam may be normal with finding.
- Hearing acuity is fine
- Weber test is normal.
- No tenderness upon palpation of the ear pinnae / tragus
- No facial tenderness
- No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
Neck
- Unremarkable
Lungs
- Symmetric chest expansion
- Lungs are hypo/hyperresonant
- Nocrackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- No Rhonchi
- Normal Vesicular breath sounds
- No Expiratory/inspiratory wheezing with normal / delayed expiratory phase
- Normaltactile fremitus
Heart
- PMI within 2 cm of the sternum (PMI)
- Heave / thrillcan bedue to palpitations
- Friction rub
- NormalS1
- NormalS2
- NoS3
- NoS4
- NoGallops
- No high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen
- NoAbdominal distention
- NoRebound tenderness (positive Blumberg sign)
- No palpable abdominal mass in the right/left upper/lower abdominal quadrant
- No guarding
- No signs ofHepatomegaly / splenomegaly / hepatosplenomegaly
Back
- No tendernes
- No sacral edema
- No costovertebral angle tenderness bilaterally/unilaterally
- No hump
Genitourinary
- No pelvic/adnexal mass.
- Normal mucosa
- No discharge
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status- can have altered mental status
- Glasgow coma scale is ___ / 15. Can be comatosed
- Unilateral/bilateral fine tremors can be present
- Normal finger-to-nose test
Extremities
- NoClubbing
- NoCyanosis
- No pitting/non-pitting edema of the upper/lower extremities
- No muscle atrophy
- No fasciculations in the upper/lower extremity