Lung mass physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination findings of lung mass will depend on the location of the tumor. Lung mass with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. Lung mass with peripheral location can present with [[pleurisy]] findings, such as reduced [[chest expansion]]. Common physical examination of patients with lung mass | Physical examination findings of lung mass will depend on the location of the tumor. Lung mass with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. Lung mass with peripheral location can present with [[pleurisy]] findings, such as reduced [[chest expansion]]. Common physical examination of patients with lung mass include [[Crackles|crackling]] or bubbling noises, decreased/absent [[breath sounds]], and [[whispered pectoriloquy]]. | ||
==Physical Examination== | ==Physical Examination== | ||
The following physical examination findings may be present among patients with lung mass:<ref name="pmid4813837">{{cite journal |vauthors=Hyde L, Hyde CI |title=Clinical manifestations of lung cancer |journal=Chest |volume=65 |issue=3 |pages=299–306 |year=1974 |pmid=4813837 |doi= |url=}}</ref> | |||
===General appearance=== | ===General appearance=== | ||
*Well-appearing | *Well-appearing | ||
* | *Patient looks older than actual age | ||
*[[Lethargic]] | *[[Lethargic]] | ||
*Confused | *[[Confusion|Confused]] | ||
===Vital Signs=== | ===Vital Signs=== | ||
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'''Inspection''' | '''Inspection''' | ||
*Performed in the anterior chest/posterior chest | *Performed in the anterior chest/posterior chest | ||
*Hoarseness | *[[Hoarseness]] | ||
*Rapid rate of breathing | *Rapid rate of breathing | ||
'''Auscultation''' | '''Auscultation''' | ||
*Present [[pleural friction rub]] | *Present [[pleural friction rub]] | ||
*Present [[egophony]] | *Present [[egophony]] | ||
*Crackling or bubbling noises | *[[Crackles|Crackling]] or bubbling noises | ||
* | *Positive [[whispered pectoriloquy]] | ||
*Decreased/absent [[breath sounds]] | *Decreased/absent [[breath sounds]] | ||
'''Percussion''' | '''Percussion''' | ||
*Hyporesonance | *Hyporesonance | ||
*Dull percussion | *Dull [[Percussion of the lungs|percussion]] | ||
*[[Tactile fremitus]] | *[[Tactile fremitus]] | ||
*Reduced chest expansion | *Reduced [[chest expansion]] | ||
===Abdomen=== | ===Abdomen=== | ||
Revision as of 15:36, 9 March 2018
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Lung Mass Microchapters |
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Diagnosis |
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Treatment |
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Lung mass physical examination On the Web |
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American Roentgen Ray Society Images of Lung mass physical examination |
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Risk calculators and risk factors for Lung mass physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Physical examination findings of lung mass will depend on the location of the tumor. Lung mass with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Lung mass with peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with lung mass include crackling or bubbling noises, decreased/absent breath sounds, and whispered pectoriloquy.
Physical Examination
The following physical examination findings may be present among patients with lung mass:[1]
General appearance
Vital Signs
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
Chest
Inspection
- Performed in the anterior chest/posterior chest
- Hoarseness
- Rapid rate of breathing
Auscultation
- Present pleural friction rub
- Present egophony
- Crackling or bubbling noises
- Positive whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hyporesonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Abdomen
Musculoskeletal
- Palpable soft-tissue mass
Skin
HEENT
CNS
- Slurred speech
- Confusion