Gastrointestinal stromal tumor physical examination

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melena hematochezia hematemesis, abdominal fullness, palpable mass. dysphagia (GISTs in proximal stomach) gastric outlet obstruction( tumors in pylorus) hemoperitoneum(intraperitoneal rupture of large tumor).

GISTs can occur as part of a syndrome; Carneys triad (gastric GIST, pulmonary chondroma, paraganglioma), or neurofibromatosis type 1 (mostly spindle cell GIST)[27].

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 [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
• The presence of [finding(s)] on physical examination is diagnostic of [disease name].
• The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Appearance of the Patient

• Patients with GIST usually appear tired.

Vital Signs

• Low-grade fever
• Hypothermia may be present
• Tachycardia with regular pulse
• Tachypnea
• Low blood pressure

Skin

• Jaundice (seen in obstructive duodenal GIST)
• Pallor (seen with abdominal bleeding)

HEENT

• Icteric sclera (seen in obstructive duodenal GIST)

Neck

• Lymphadenopathy (rare)

Abdomen

• Abdominal distention
• Succussion splash (gastric outlet obstruction with GIST in pylorus)
• Shifting dullness (intraperitoneal rupture of large GIST with hemoperitoneum)
• Palpable abdominal mass (location depends upon the site of GIST)
• Severe cases may have abdominal perforation with signs of peritonitis such as:
  • Abdominal tenderness
  • Rigidity
  • Guarding

Extremities

• Pitting edema of the lower extremities

References

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