Astrocytoma physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
{{CMG}}; {{AE}} {{Ammu}} | {{CMG}}; {{AE}} {{Ammu}} | ||
==Overview== | ==Overview== | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 15:55, 3 January 2019
|
Astrocytoma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Study |
|
Astrocytoma physical examination On the Web |
|
American Roentgen Ray Society Images of Astrocytoma physical examination |
|
Risk calculators and risk factors for Astrocytoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
Physical Examination
Appearance of the Patient
- Patients are usually well appearing and can have gait disturbances[1]
Vital Signs
- High-grade / low-grade fever
- Hypothermia / hyperthermia may be present
- Tachycardia with regular pulse or (ir)regularly irregular pulse
- Bradycardia with regular pulse or (ir)regularly irregular pulse
- Tachypnea / bradypnea
- Kussmal respirations may be present in _____ (advanced disease state)
- Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
- High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure
Skin
- Skin examination of patients with [disease name] is usually normal.
OR
- UploadedImage-01.jpg Description (Adapted from Dermatology Atlas)
- Description (Adapted from Dermatology Atlas)
HEENT
- Hearing acuity may be reduced
- Nystagmus may be present
- Extra-ocular movements may be abnormal
- Pupils may not react to light
- Ophthalmoscopic exam may be abnormal with findings of papilledema such as swollen disc, blurry vision, venous engorgement
Neck
- Head tilt may be present
Lungs
- Pulmonary examination of patients with astrocytoma is usually normal.
Heart
- Cardiovascular examination of patients with astrocytoma is usually normal.
Abdomen
- Abdominal examination of patients with astrocytoma is usually normal.
Back
- Back examination of patients with astrocytoma is usually normal.
Genitourinary
- Genitourinary examination of patients with astrocytoma is usually normal.
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is 15 / 15
- Clonus may be present
- Hyperreflexia may be present
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally/bilaterally
- Cranial nerve involvement may be present.
- Unilateral/bilateral upper/lower extremity weakness
- Unilateral/bilateral sensory loss in the upper/lower extremity
- Abnormal gait may be present (trunkal ataxia)
- Positive/negative Trendelenburg sign
- Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
- Normal finger-to-nose test / Dysmetria
- Absent/present dysdiadochokinesia (palm tapping test)
Extremities
- Extremities examination of patients with astrocytoma is usually normal.
References
- ↑ Forbes JA, Mobley BC, O'Lynnger TM, Cooper CM, Ghiassi M, Hanif R; et al. (2011). "Pediatric cerebellar pilomyxoid-spectrum astrocytomas". J Neurosurg Pediatr. 8 (1): 90–6. doi:10.3171/2011.4.PEDS1115. PMC 3779306. PMID 21721894.