Peutz-Jeghers syndrome physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*[[Cachexia]] may be suggestive of [[cancer]]. | *[[Cachexia]] may be suggestive of [[cancer]].<ref name="KopacovaTacheci2009">{{cite journal|last1=Kopacova|first1=Marcela|last2=Tacheci|first2=Ilja|last3=Rejchrt|first3=Stanislav|last4=Bures|first4=Jan|title=Peutz-Jeghers syndrome: Diagnostic and therapeuticapproach|journal=World Journal of Gastroenterology|volume=15|issue=43|year=2009|pages=5397|issn=1007-9327|doi=10.3748/wjg.15.5397}}</ref>< | ||
===Vitals=== | ===Vitals=== | ||
Revision as of 16:50, 17 December 2017
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Peutz-Jeghers syndrome Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Peutz-Jeghers syndrome physical examination On the Web |
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American Roentgen Ray Society Images of Peutz-Jeghers syndrome physical examination |
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Risk calculators and risk factors for Peutz-Jeghers syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Common physical examination findings of Peutz-Jeghers syndrome include mucocutaneous hyperpigmentation, abdominal tenderness due to intussusception, bowel obstruction, and pallor due to anemia.
Physical Examination
Appearance of the Patient
Vitals
Skin
- Patches of hyperpigmentation on the hands and feet[1]
- Jaundice may be suggestive of pancreatic cancer
Eyes
- Icteric sclera
Throat
- Oral mucosa
- Mucocutaneous pigmentation causing patches of hyperpigmentation in the oral mucosa (gingiva, hard palate, buccal mucosa, and labial mucosa)[1][2]
Neck
Lungs
- If lung cancer develops, the patient may present with the following:
- Wheezing
- Consolidation with reduced breath sounds on auscultation
- Rales
- Egophony
- Chest movement may be asymmetric
Abdomen
- Abdominal distention
- Abdominal tenderness
- Rebound tenderness
- An acute abdomen may be suggestive of intussusception
- An abdominal mass may be suggestive of hepatic or pancreatic cancer
- Guarding
- Hepatomegaly may be suggestive of hepatic cancer
Extremities
- Patches of hyperpigmentation on the hands and feet[2]
- Clubbing may be suggestive of lung cancer
- Cyanosis may be suggestive of lung cancer
Gallery
![Perioral and perinasal hyperpigmentations.[2]](/index.php/File:PJS22.jpg)
![Hyperpigmentations on the finger tips.[2]](/index.php/File:PJS44.jpg)
References
- ↑ 1.0 1.1 1.2 Kopacova, Marcela; Tacheci, Ilja; Rejchrt, Stanislav; Bures, Jan (2009). "Peutz-Jeghers syndrome: Diagnostic and therapeuticapproach". World Journal of Gastroenterology. 15 (43): 5397. doi:10.3748/wjg.15.5397. ISSN 1007-9327.
- ↑ 2.0 2.1 2.2 2.3 Hofmann S, Barth TF, Kornmann M, Henne-Bruns D (2014). "Appendix carcinoid associated with the Peutz-Jeghers syndrome". Int J Surg Case Rep. 5 (12): 964–7. doi:10.1016/j.ijscr.2014.06.024. PMC 4276270. PMID 25460448.