Glucagonoma physical examination: Difference between revisions
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*[[Fever]] may be present | *[[Fever]] may be present | ||
===Skin=== | ===Skin=== | ||
* | *[[Erythematous]], ring shaped [[rash]] that blisters, erodes, and crusts over suggesting [[necrolytic migratory erythema]] | ||
===HEENT=== | ===HEENT=== | ||
* [[Ophthalmoscopy|Ophthalmoscopic]] exam may be abnormal with findings of [[cotton wool spots]], [[Flame hemorrhages|flame hemorrhage]], and dot and blot hemorrhage | * [[Ophthalmoscopy|Ophthalmoscopic]] exam may be abnormal with findings of [[cotton wool spots]], [[Flame hemorrhages|flame hemorrhage]], and dot and blot hemorrhage | ||
Revision as of 16:56, 20 November 2017
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Glucagonoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Glucagonoma physical examination On the Web |
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American Roentgen Ray Society Images of Glucagonoma physical examination |
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Risk calculators and risk factors for Glucagonoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2], Mohammed Abdelwahed M.D[3]
Overview
Common physical examination findings of glucagonoma include tachycardia, fever, rash, muscle atrophy. Cotton wool spots, flame hemorrhage, and dot-blot hemorrhages on fundoscopic examination of the eye may be present.
Physical Examination
Common physical examination findings of glucagonoma include:
General Appearance
- Patients with glucagonoma are generally well-appearing
- Patient may appear thin and cachectic in advanced cases
Vital Signs
- Tachycardia may be present
- Fever may be present
Skin
- Erythematous, ring shaped rash that blisters, erodes, and crusts over suggesting necrolytic migratory erythema
HEENT
- Ophthalmoscopic exam may be abnormal with findings of cotton wool spots, flame hemorrhage, and dot and blot hemorrhage
Heart
- Tachycardia may be present
Extremities
- Muscle atrophy may be present
- Unilateral calf or thigh tenderness
- Unilateral calf or thigh swelling
- Unilateral calf or thigh warmth
- Unilateral calf or thigh erythema
- Palpable cord (a thickened palpable vein suggestive of thrombosed vein)
- Dilatation of unilateral collateral superficial veins
Neuromuscular
- Patient is oriented to persons, place, and time
- Hyporeflexia may be present
- Unilateral/bilateral sensory loss in the upper/lower extremity may be present
- Muscle atrophy may be present
- Vibration and joint position sense may be decreased