Linitis plastica physical examination: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 20: Line 20:
*Diffuse seborrheic keratoses (sign of Leser-Trélat)  
*Diffuse seborrheic keratoses (sign of Leser-Trélat)  
*Acanthosis nigricans
*Acanthosis nigricans
[[Image:lt.jpg|thumb|center|500px|Diffuse seborrheic keratoses (sign of Leser-Trélat) is shown. By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=24076793]]


===HEENT===
===HEENT===

Revision as of 19:08, 11 January 2018

Linitis plastica Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Linitis plastica from Other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Staging

Diagnostic study of choice

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Linitis plastica physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Linitis plastica physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Linitis plastica physical examination

CDC on Linitis plastica physical examination

Linitis plastica physical examination in the news

Blogs on Linitis plastica physical examination

Directions to Hospitals Treating Linitis plastica

Risk calculators and risk factors for Linitis plastica physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

Patients with linitis plastica in the early stages may appear to be normal. When metastasis occurs, the patient usually appears fatigued and cachexic. Physical examination of patients with linitis plastica and metastasis may be remarkable for lymphadenopathy, weight loss, and signs of ascites.


Physical Examination

Physical examination of patients with metastatic linitis plastica is usually remarkable for: lymphadenopaty, ascites, and organomegaly.

Appearance of the Patient

Patients with linitis plastica in the early stages may appear to be normal. When metastasis occurs, the patient usually appears fatigued and cachexic.

Vital Signs

Low-grade fever

Skin

  • Jaundice is present with liver metastasis.
  • Diffuse seborrheic keratoses (sign of Leser-Trélat)
  • Acanthosis nigricans
Diffuse seborrheic keratoses (sign of Leser-Trélat) is shown. By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=24076793

HEENT

Icteric sclera with liver metastasis

Neck

Lungs

  • Massive ascites leads to:
    • Decreased chest expansion
    • Fine crackles upon auscultation of the lung bases bilaterally

Abdomen

Signs of ascites:

Massive ascites is shown.By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=15335623

Genitourinary

  • A pelvic/adnexal mass may be palpated:
    • Krukenberg's tumor (peritoneal spread results in an enlarged ovary)
    • Blumer's shelf (mass in the cul-de-sac on per rectal exam)

Extremities

  • Pitting/non-pitting edema of the upper/lower extremities
  • Irish node (left axillary node)



References


Template:WikiDoc Sources