Colorectal cancer physical examination: Difference between revisions
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Revision as of 22:01, 26 November 2017
Colorectal cancer Microchapters |
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Colorectal cancer physical examination On the Web |
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To view the physical examination of familial adenomatous polyposis (FAP), click here
To view the physical examination of hereditary nonpolyposis colorectal cancer (HNPCC), click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D. Usama Talib, BSc, MD [2]
Overview
Generally, the most common signs of colorectal cancer are emaciation, lethargy, and pallor Other signs include low-grade fever, discomfort on palpation, ascites rectal bleeding, rectal mass, and jaundice.
Colorectal Cancer Physical Examination
The physical examination of colorectal carcinoma may show:[1][2][3][4][5][6][7]
General appearance
- Lethargic
- Pale
- Emaciated
- Confused
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease may have the following vital signs:
- Low-grade fever
- Decreased SPO2
- Tachyapnea
- Tachycardia
- Low BP
Abdomen
- Discomfort on palpation
- Hepatomegaly
- Absent bowel sounds - may be suggested of intestinal obstruction
- Ascites
Rectal exam
- Rectal bleeding
- Rectal mass
Chest
- Decreased/absent breath sounds
Skin
HEENT
Extremities
- Swelling of hands and feet
References
- ↑ Yasmine Samir Galal, Tarek Tawfik Amin, Abdulelah Khalid Alarfaj, Abdulaziz Abdullah Almulhim, Abdullah Abdulmohsen Aljughaiman, Abdulrhaman Khaled Almulla & Rehab Ahmed Abdelhai (2016). "Colon Cancer among Older Saudis: Awareness of Risk Factors and Early Signs, and Perceived Barriers to Screening". Asian Pacific journal of cancer prevention : APJCP. 17 (4): 1837–1846. PMID 27221862.
- ↑ Carmen Jochem & Michael Leitzmann (2016). "Obesity and Colorectal Cancer". Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer. 208: 17–41. doi:10.1007/978-3-319-42542-9_2. PMID 27909900.
- ↑ Hind Mrabti, Mounia Amziren, Ibrahim ElGhissassi, Youssef Bensouda, Narjiss Berrada, Halima Abahssain, Saber Boutayeb, Samira El Fakir, Chakib Nejjari, Abdellatif Benider, Nawfel Mellas, Omar El Mesbahi, Maria Bennani, Rachid Bekkali, Ahmed Zidouh & Hassan Errihani (2016). "Quality of life of early stage colorectal cancer patients in Morocco". BMC gastroenterology. 16 (1): 131. doi:10.1186/s12876-016-0538-9. PMID 27733117. Unknown parameter
|month=
ignored (help) - ↑ Yasmine Samir Galal, Tarek Tawfik Amin, Abdulelah Khalid Alarfaj, Abdulaziz Abdullah Almulhim, Abdullah Abdulmohsen Aljughaiman, Abdulrhaman Khaled Almulla & Rehab Ahmed Abdelhai (2016). "Colon Cancer among Older Saudis: Awareness of Risk Factors and Early Signs, and Perceived Barriers to Screening". Asian Pacific journal of cancer prevention : APJCP. 17 (4): 1837–1846. PMID 27221862.
- ↑ Samir Pathak, Sanjay Pandanaboyana, Ian Daniels, Neil Smart & K. R. Prasad (2016). "Obesity and colorectal liver metastases: Mechanisms and management". Surgical oncology. 25 (3): 246–251. doi:10.1016/j.suronc.2016.05.021. PMID 27566030. Unknown parameter
|month=
ignored (help) - ↑ Masato Watanabe, Masanori Tada, Takafumi Satomi, Daichi Chikazu, Masashi Mizumoto & Hideyuki Sakurai (2016). "Metastatic rectal adenocarcinoma in the mandibular gingiva: a case report". World journal of surgical oncology. 14 (1): 199. doi:10.1186/s12957-016-0958-6. PMID 27473859. Unknown parameter
|month=
ignored (help) - ↑ Vivek Subbiah & Howard Jack West (2016). "Jaundice (Hyperbilirubinemia) in Cancer". JAMA oncology. 2 (8): 1103. doi:10.1001/jamaoncol.2016.1236. PMID 27416009. Unknown parameter
|month=
ignored (help)