Small intestine cancer physical examination: Difference between revisions
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* Lethargic | * Lethargic | ||
* Pale | * Pale | ||
* | * Emaciated in late stage | ||
'''Vital Signs:''' | '''Vital Signs:''' | ||
* Tachycardia due to anemia | * Tachycardia due to anemia | ||
Line 21: | Line 21: | ||
* Pale | * Pale | ||
'''HEENT:''' | '''HEENT:''' | ||
* | * May be normal | ||
* May show icterus in case of liver involvement | |||
* Lympadenopathy may be positive | |||
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
- ↑ 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.