Gastrointestinal stromal tumor physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of GIST include abdominal distension and palpable abdominal mass. | Common physical examination findings of gastrointestinal stromal tumors (GIST) include [[abdominal distension]] and palpable [[abdominal mass]]. Patients with severe and longstanding GIST can present with signs of abdominal [[perforation]] and signs of [[peritonitis]] such as [[abdominal tenderness]], rigidity and [[Abdominal guarding|guarding]]. Other findings include those from tumor rupture and blood loss such as [[low blood pressure]], [[tachycardia]], and [[dyspnea]]. | ||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with GIST is usually positive for abdominal distension and palpable abdominal mass. Other findings include: | *Physical examination of patients with gastrointestinal stromal tumors (GIST) is usually positive for abdominal distension and palpable abdominal mass. Other findings include: | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with GIST usually appear tired. | *Patients with GIST usually appear [[tired]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Low-grade fever | *[[Low-grade fever]] | ||
*[[Hypothermia]] may be present | *[[Hypothermia]] may be present | ||
*[[Tachycardia]] with regular pulse | *[[Tachycardia]] with regular pulse | ||
*Tachypnea | *[[Tachypnea]] | ||
*Low blood pressure | *[[Low blood pressure]] | ||
===Skin=== | ===Skin=== | ||
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===HEENT=== | ===HEENT=== | ||
* Icteric sclera (seen in obstructive duodenal GIST) | * [[Icterus|Icteric sclera]] (seen in obstructive duodenal GIST) | ||
===Neck=== | ===Neck=== | ||
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===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*Succussion splash (gastric outlet obstruction with GIST in pylorus) | *Succussion splash ([[gastric outlet obstruction]] with GIST in [[pylorus]]) | ||
*Shifting dullness (intraperitoneal rupture of large GIST with hemoperitoneum) | *Shifting dullness ([[intraperitoneal]] rupture of large GIST with [[hemoperitoneum]]) | ||
*Palpable abdominal mass (location depends upon the site of GIST) | *Palpable [[abdominal mass]] (location depends upon the site of GIST) | ||
*Severe cases may have abdominal perforation with signs of peritonitis such as: | *Severe cases may have abdominal perforation with signs of [[peritonitis]] such as: | ||
**[[Abdominal tenderness]] | **[[Abdominal tenderness]] | ||
**Rigidity | **Rigidity | ||
**Guarding | **[[Abdominal guarding|Guarding]] | ||
===Extremities=== | ===Extremities=== | ||
Revision as of 21:23, 15 December 2017
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Gastrointestinal stromal tumor Microchapters |
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Differentiating Gastrointestinal stromal tumor from other Diseases |
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Risk calculators and risk factors for Gastrointestinal stromal tumor physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Common physical examination findings of gastrointestinal stromal tumors (GIST) include abdominal distension and palpable abdominal mass. Patients with severe and longstanding GIST can present with signs of abdominal perforation and signs of peritonitis such as abdominal tenderness, rigidity and guarding. Other findings include those from tumor rupture and blood loss such as low blood pressure, tachycardia, and dyspnea.
Physical Examination
- Physical examination of patients with gastrointestinal stromal tumors (GIST) is usually positive for abdominal distension and palpable abdominal mass. Other findings include:
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
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