Insulinoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Insulinoma}} | {{Insulinoma}} | ||
{{CMG}}; {{AE}} {{ | {{CMG}}; {{AE}} {{ADS}} | ||
==Overview== | ==Overview== | ||
Physical examination of patients with insulinoma is usually unremarkable. | |||
==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 unremarkable. They can have altered mental status or sweating rarely. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* | *No high-grade / low-grade fever | ||
*[[ | *No [[tachycardia]] with regular pulse | ||
*[[ | *No [[bradycardia]] with regular pulse | ||
* | * No tachypnea / bradypnea | ||
===Skin=== | ===Skin=== | ||
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Unremarkable | Unremarkable | ||
*PMI within 2 cm of the sternum (PMI) | *PMI within 2 cm of the sternum (PMI) | ||
*[[ | *No [[heave]] / [[thrill]] | ||
*No [[ | *No [[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]] | ||
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===Back=== | ===Back=== | ||
Unremarkable | Unremarkable | ||
*No | *No tenderness | ||
*No sacral edema | *No sacral edema | ||
*No costovertebral angle tenderness bilaterally/unilaterally | *No costovertebral angle tenderness bilaterally/unilaterally | ||
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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/confusion | * Altered mental status- can have [[altered mental status]]/confusion | ||
* Glasgow coma scale is x / 15. Can be comatose | * Glasgow coma scale is x / 15. Can be [[comatose]] rarely | ||
* Unilateral/bilateral fine tremors can be present | * Unilateral/bilateral fine [[Tremor|tremors]] can be present rarely | ||
* Normal finger-to-nose test | * Normal finger-to-nose test | ||
Revision as of 15:26, 15 September 2017
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Insulinoma physical examination On the Web |
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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: Amandeep Singh M.D.[2]
Overview
Physical examination of patients with insulinoma is usually unremarkable.
Physical Examination
- Physical examination of patients with insulinoma is usually unremarkable.
Appearance of the Patient
- Patients with insulinoma usually appear unremarkable. They can have altered mental status or sweating rarely.
Vital Signs
- No high-grade / low-grade fever
- No tachycardia with regular pulse
- No bradycardia with regular pulse
- No tachypnea / bradypnea
Skin
- can have sweating
HEENT
Unremarkable
- No abnormalities of the head/hair
- No evidence of trauma
- Normal sclera
- No Nystagmus
- Extra-ocular movements are normal
- Pupils -reactive to light and to accommodation
- Ophthalmoscopic exam may be normal
- 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
Unremarkable
- Symmetric chest expansion
- Lungs are hypo/hyperresonant
- No crackles 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
Unremarkable
- PMI within 2 cm of the sternum (PMI)
- No heave / thrill
- No friction rub
- Normal S1
- Normal S2
- No S3
- No S4
- No 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
Abdomen
- No Abdominal distention
- No Rebound tenderness (positive Blumberg sign)
- No palpable abdominal mass in the right/left upper/lower abdominal quadrant
- No guarding
- No signs ofHepatomegaly / splenomegaly / hepatosplenomegaly
Back
Unremarkable
- No tenderness
- No sacral edema
- No costovertebral angle tenderness bilaterally/unilaterally
- No hump
Genitourinary
Unremarkable
- 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/confusion
- Glasgow coma scale is x / 15. Can be comatose rarely
- Unilateral/bilateral fine tremors can be present rarely
- Normal finger-to-nose test
Extremities
Unremarkable
- No Clubbing
- No Cyanosis
- No pitting/non-pitting edema of the upper/lower extremities
- No muscle atrophy
- No fasciculations in the upper/lower extremity