Small intestine cancer physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
*Clinical features of small intestinal tumors have not been clearly studied, as its a rare condition.<ref name="pmid20871040">{{cite journal |vauthors=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 |title=Clinical features of and chemotherapy for cancer of the small intestine |journal=Anticancer Res. |volume=30 |issue=8 |pages=3193–7 |date=August 2010 |pmid=20871040 |doi= |url=}}</ref> | *Clinical features of small intestinal tumors have not been clearly studied, as its a rare condition.<ref name="pmid20871040">{{cite journal |vauthors=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 |title=Clinical features of and chemotherapy for cancer of the small intestine |journal=Anticancer Res. |volume=30 |issue=8 |pages=3193–7 |date=August 2010 |pmid=20871040 |doi= |url=}}</ref> | ||
*Advanced stage tumors present with signs of intestinal | *Advanced stage tumors present with signs of [[intestinal obstruction]]<nowiki/>s. | ||
*Common physical exam findings include [[abdominal tenderness]], [[abdominal mass]], [[hepatomegaly]], [[ascites]], [[icterus]], or | *Common physical exam findings include [[abdominal tenderness]], [[abdominal mass]], [[hepatomegaly]], [[ascites]], [[icterus]], or [[Lymphadenopathy|enlarged lymph nodes.]] | ||
*Stool must be checked for blood. | *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. | *Symptoms related to obstruction appear when tumor is at advanced stage as, contents of small intestine are mostly fluid. | ||
'''Appearance of the Patient:''' | '''Appearance of the Patient:''' | ||
* Lethargic | * [[Lethargic]] | ||
* | * [[Pallor]] | ||
* Emaciated in late stage | * [[Emaciation|Emaciated]] in late stage | ||
'''Vital Signs:''' | '''Vital Signs:''' | ||
* Tachycardia due to anemia | * [[Tachycardia]] due to anemia | ||
'''Skin:''' | '''Skin:''' | ||
* | * [[Pallor]] | ||
'''HEENT:''' | '''HEENT:''' | ||
* May be normal | * May be normal | ||
* May show icterus in case of liver involvement | * May show [[icterus]] in case of liver involvement | ||
* | * [[Lymphadenopathy]] may be positive<br /> | ||
'''Neck:''' | '''Neck:''' | ||
* | * May be normal on examination | ||
* May show lymphadenopathy in case of distant metastasis | * May show [[lymphadenopathy]] in case of distant [[metastasis]] | ||
'''Lungs:''' | '''Lungs:''' | ||
* Lungs | * Lungs may be normal on auscultation | ||
'''Heart:''' | '''Heart:''' | ||
* Heart sounds | * Heart sounds may be normal | ||
* In case of distant involvement there may be findings on auscultation | * In case of distant involvement there may be findings on auscultation | ||
'''Abdomen:''' | '''Abdomen:''' | ||
| Line 40: | Line 40: | ||
* Back may be normal on examination | * Back may be normal on examination | ||
'''Genitourinary:''' | '''Genitourinary:''' | ||
* Genitourinary may show | * Genitourinary may show [[melena]] or blood per [[rectum]] | ||
'''Abdomen:''' | '''Abdomen:''' | ||
* Abdomen can show signs of obstruction and mass | * Abdomen can show signs of obstruction and mass | ||
| Line 46: | Line 46: | ||
* Depending on the stage of the disease may be normal or agitated | * Depending on the stage of the disease may be normal or agitated | ||
'''Extremities:''' | '''Extremities:''' | ||
* Extremities can show mass loss and emaciation in late stage | * Extremities can show mass loss and [[emaciation]] in late stage | ||
==References== | ==References== | ||
Revision as of 22:26, 14 January 2019
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Small intestine cancer Microchapters |
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Small intestine cancer physical examination On the Web |
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Risk calculators and risk factors for Small intestine cancer physical examination |
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 nodes and 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:
Vital Signs:
- Tachycardia due to anemia
Skin:
HEENT:
- May be normal
- May show icterus in case of liver involvement
- Lymphadenopathy may be positive
Neck:
- May be normal on examination
- May show lymphadenopathy in case of distant metastasis
Lungs:
- Lungs may be normal on auscultation
Heart:
- Heart sounds may be normal
- 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:
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.