Gallbladder cancer physical examination: Difference between revisions
Jump to navigation
Jump to search
| Line 6: | Line 6: | ||
* Physical examination of patients with gallbladder cancer is usually remarkable for symptoms that are due to cholelithiasis or cholecystitis. | * Physical examination of patients with gallbladder cancer is usually remarkable for symptoms that are due to cholelithiasis or cholecystitis. | ||
* .The presence of palpable gallbladder on physical examination is highly suggestive of gallbladder cancer. | * .The presence of palpable gallbladder on physical examination is highly suggestive of gallbladder cancer. | ||
** '''Courvoisier's sign''': Also called Courvoisier's Law is a sigh of malignancy either pancreatic or gallbladder orgin rather than a sigh of cholelithiasis.<ref name="pmid19190960">{{cite journal |vauthors=Fitzgerald JE, White MJ, Lobo DN |title=Courvoisier's gallbladder: law or sign? |journal=World J Surg |volume=33 |issue=4 |pages=886–91 |year=2009 |pmid=19190960 |doi=10.1007/s00268-008-9908-y |url=}}</ref> <ref name="pmid28874964">{{cite journal |vauthors=Agrawal S, Vohra S |title=Simultaneous Courvoisier's and double duct signs |journal=World J Gastrointest Endosc |volume=9 |issue=8 |pages=425–427 |year=2017 |pmid=28874964 |pmc=5565509 |doi=10.4253/wjge.v9.i8.425 |url=}}</ref><ref name="pmid22630101">{{cite journal |vauthors=Memon AA, Soomro MI, Soomro QA |title=Courvoisier's law revisited |journal=J Coll Physicians Surg Pak |volume=22 |issue=6 |pages=392–4 |year=2012 |pmid=22630101 |doi=06.2012/JCPSP.392394 |url=}}</ref><ref name="pmid24364089">{{cite journal |vauthors=Gorelik O, Shteinschnaider M, Cohen N, Almoznino-Sarafian D |title=[Visible Courvoisier's sign: a rare presentation of bile duct obstruction] |language=Hebrew |journal=Harefuah |volume=152 |issue=9 |pages=516–7, 565 |year=2013 |pmid=24364089 |doi= |url=}}</ref><ref name="pmid19864733">{{cite journal |vauthors=Munzer D |title=Assessment of Courvoisier's law |journal=Saudi J Gastroenterol |volume=5 |issue=3 |pages=106–12 |year=1999 |pmid=19864733 |doi= |url=}}</ref> | ** '''Courvoisier's sign''': Also called Courvoisier's Law is a sigh of malignancy either pancreatic or of gallbladder orgin rather than a sigh of cholelithiasis.<ref name="pmid19190960">{{cite journal |vauthors=Fitzgerald JE, White MJ, Lobo DN |title=Courvoisier's gallbladder: law or sign? |journal=World J Surg |volume=33 |issue=4 |pages=886–91 |year=2009 |pmid=19190960 |doi=10.1007/s00268-008-9908-y |url=}}</ref> <ref name="pmid28874964">{{cite journal |vauthors=Agrawal S, Vohra S |title=Simultaneous Courvoisier's and double duct signs |journal=World J Gastrointest Endosc |volume=9 |issue=8 |pages=425–427 |year=2017 |pmid=28874964 |pmc=5565509 |doi=10.4253/wjge.v9.i8.425 |url=}}</ref><ref name="pmid22630101">{{cite journal |vauthors=Memon AA, Soomro MI, Soomro QA |title=Courvoisier's law revisited |journal=J Coll Physicians Surg Pak |volume=22 |issue=6 |pages=392–4 |year=2012 |pmid=22630101 |doi=06.2012/JCPSP.392394 |url=}}</ref><ref name="pmid24364089">{{cite journal |vauthors=Gorelik O, Shteinschnaider M, Cohen N, Almoznino-Sarafian D |title=[Visible Courvoisier's sign: a rare presentation of bile duct obstruction] |language=Hebrew |journal=Harefuah |volume=152 |issue=9 |pages=516–7, 565 |year=2013 |pmid=24364089 |doi= |url=}}</ref><ref name="pmid19864733">{{cite journal |vauthors=Munzer D |title=Assessment of Courvoisier's law |journal=Saudi J Gastroenterol |volume=5 |issue=3 |pages=106–12 |year=1999 |pmid=19864733 |doi= |url=}}</ref> | ||
* The presence of palpable mass, ascites or paraneoplastic syndromes like acanthosis nigricans on physical examination is most likely suggestive of extraabdominal metastases. | |||
* Patient who are not asymtomatic they come with pain followed by anorexia, nausea, or vomiting. | |||
== Appearance of the Patient == | |||
* Patients with gallbladder cancer usually appear anorexic. | |||
== Vital Signs == | |||
* '''Courvoisier's sign''': Also called Courvoisier's Law is a sigh of malignancy either pancreatic or of gallbladder orgin rather than a sigh of cholelithiasis.<ref name="pmid19190960" /> | |||
__NOTOC__ | __NOTOC__ | ||
{{Gallbladder cancer}} | {{Gallbladder cancer}} | ||
Revision as of 15:46, 1 February 2018
Overview
Patients with gallbladder cancer usually appear asymptomatic. Physical examination of patients with gallbladder cancer is usually remarkable for nonspecific symptoms that are due to cholelithiasis or cholecystitis.The preoperative diagnosis rate for gallbladder cancer was only 10 to 15 percent
Physical Examination
- Physical examination of patients with gallbladder cancer is usually non specific or most oftenly asymptomatic.
- Physical examination of patients with gallbladder cancer is usually remarkable for symptoms that are due to cholelithiasis or cholecystitis.
- .The presence of palpable gallbladder on physical examination is highly suggestive of gallbladder cancer.
- The presence of palpable mass, ascites or paraneoplastic syndromes like acanthosis nigricans on physical examination is most likely suggestive of extraabdominal metastases.
- Patient who are not asymtomatic they come with pain followed by anorexia, nausea, or vomiting.
Appearance of the Patient
- Patients with gallbladder cancer usually appear anorexic.
Vital Signs
- Courvoisier's sign: Also called Courvoisier's Law is a sigh of malignancy either pancreatic or of gallbladder orgin rather than a sigh of cholelithiasis.[1]
|
Gallbladder cancer Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Gallbladder cancer physical examination On the Web |
|
American Roentgen Ray Society Images of Gallbladder cancer physical examination |
|
Risk calculators and risk factors for Gallbladder cancer physical examination |
References
- ↑ 1.0 1.1 Fitzgerald JE, White MJ, Lobo DN (2009). "Courvoisier's gallbladder: law or sign?". World J Surg. 33 (4): 886–91. doi:10.1007/s00268-008-9908-y. PMID 19190960.
- ↑ Agrawal S, Vohra S (2017). "Simultaneous Courvoisier's and double duct signs". World J Gastrointest Endosc. 9 (8): 425–427. doi:10.4253/wjge.v9.i8.425. PMC 5565509. PMID 28874964.
- ↑ Memon AA, Soomro MI, Soomro QA (2012). "Courvoisier's law revisited". J Coll Physicians Surg Pak. 22 (6): 392–4. doi:06.2012/JCPSP.392394 Check
|doi=value (help). PMID 22630101. - ↑ Gorelik O, Shteinschnaider M, Cohen N, Almoznino-Sarafian D (2013). "[Visible Courvoisier's sign: a rare presentation of bile duct obstruction]". Harefuah (in Hebrew). 152 (9): 516–7, 565. PMID 24364089.
- ↑ Munzer D (1999). "Assessment of Courvoisier's law". Saudi J Gastroenterol. 5 (3): 106–12. PMID 19864733.