Small intestine cancer physical examination

Small intestine cancer Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Qurrat-ul-ain Abid, M.D.[2]

Overview

Generally, the most common signs of small intestinal cancer are emaciation, lethargy, abdominal tenderness, abdominal mass, hepatomegaly, ascites, icterus, enlarged lymph nodesand pallor. Other signs include low-grade fever, discomfort on palpation, rectal bleeding, abdominal mass, and jaundice.

Physical Examination

• Clinical features of small intestinal tumors have not been clearly studied, as its a rare condition.
• Advanced stage tumors present with signs of intestinal obstructions.
• Common physical exam findings include abdominal tenderness, abdominal mass, hepatomegaly, ascites, icterus, or enlarged lymph nodes.
• Stool must be checked for blood.
• Symptoms related to obstruction appear when tumor is at advanced stage as, contents of small intestine are mostly fluid.

Appearance of the Patient:

Vital Signs:

Skin:

HEENT:

Abnormalities of the head/hair may include ___ Evidence of trauma Icteric sclera Nystagmus Extra-ocular movements may be abnormal Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation Ophthalmoscopic exam may be abnormal with findings of ___ Hearing acuity may be reduced Weber test may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".) Rinne test may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".) Exudate from the ear canal Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal) Inflamed nares / congested nares Purulent exudate from the nares Facial tenderness Erythematous throat with/without tonsillar swelling, exudates, and/or petechia

Neck:

Lungs:

Heart:

Abdomen:

Back:

Genitourinary: Abdomen:

Neuromuscular:

Extremities: