Small intestine cancer physical examination: Difference between revisions

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* Lethargic
* Lethargic
* Pale
* Pale
* Emancipated in late stage
* Emaciated in late stage
'''Vital Signs:'''
'''Vital Signs:'''
* Tachycardia due to anemia
* Tachycardia due to anemia
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* Pale  
* Pale  
'''HEENT:'''
'''HEENT:'''
* Can be normal
* May be normal
 
* May show icterus in case of liver involvement
Abnormalities of the head/hair may include ___
* Lympadenopathy may be positive
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




Line 45: Line 30:


* May show lymphadenopathy in case of distant metastasis
* May show lymphadenopathy in case of distant metastasis


'''Lungs:'''
'''Lungs:'''
 
* Lungs can be normal on auscultation
'''Heart:'''
'''Heart:'''
 
* Heart sounds can be normal i
* In case of distant involvement there may be findings on auscultation
'''Abdomen:'''
'''Abdomen:'''
 
* On palpation abdomen may show tenderness, mass, ascities and hepatomegaly
'''Back:'''
'''Back:'''
 
* Back may be normal on examination
'''Genitourinary:'''
'''Genitourinary:'''
* Genitourinary may show maleena or blood per rectum
'''Abdomen:'''
'''Abdomen:'''
 
* Abdomen can show signs of obstruction and mass
'''Neuromuscular:'''
'''Neuromuscular:'''
 
* Depending on the stage of the disease may be normal or agitated
'''Extremities:'''
'''Extremities:'''
* Extremities can show mass loss and emaciation in late stage


==References==
==References==

Revision as of 20:38, 13 January 2019

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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.[1]
  • 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:

  • Lethargic
  • Pale
  • Emaciated in late stage

Vital Signs:

  • Tachycardia due to anemia

Skin:

  • Pale

HEENT:

  • May be normal
  • May show icterus in case of liver involvement
  • Lympadenopathy may be positive


Neck:

  • Can be normal on examination
  • May show lymphadenopathy in case of distant metastasis

Lungs:

  • Lungs can be normal on auscultation

Heart:

  • Heart sounds can be normal i
  • In case of distant involvement there may be findings on auscultation

Abdomen:

  • On palpation abdomen may show tenderness, mass, ascities and hepatomegaly

Back:

  • Back may be normal on examination

Genitourinary:

  • Genitourinary may show maleena or blood per rectum

Abdomen:

  • Abdomen can show signs of obstruction and mass

Neuromuscular:

  • Depending on the stage of the disease may be normal or agitated

Extremities:

  • Extremities can show mass loss and emaciation in late stage

References

  1. Higashi D, Ishibashi Y, Tamura T, Nii K, Egawa Y, Koga M, Tomiyasu T, Harimura T, Tanaka R, Futatsuki R, Noda S, Futami K, Maekawa T, Takaki Y, Hirai F, Matsui T (August 2010). "Clinical features of and chemotherapy for cancer of the small intestine". Anticancer Res. 30 (8): 3193–7. PMID 20871040.

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