Small cell carcinoma of the lung physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Many authors have concluded that performing a complete assessment, with a detailed history and physical examination, is useful for identifying patients with a higher likelihood of [[metastases]]. | Many authors have concluded that performing a complete assessment, with a detailed history and physical examination, is useful for identifying patients with a higher likelihood of [[metastases]].<ref name="pmid17873166">{{cite journal| author=Spiro SG, Gould MK, Colice GL, American College of Chest Physicians| title=Initial evaluation of the patient with lung cancer: symptoms, signs, laboratory tests, and paraneoplastic syndromes: ACCP evidenced-based clinical practice guidelines (2nd edition). | journal=Chest | year= 2007 | volume= 132 | issue= 3 Suppl | pages= 149S-160S | pmid=17873166 | doi=10.1378/chest.07-1358 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17873166 }} </ref> | ||
==Physical Examination== | ==Physical Examination== |
Revision as of 14:35, 10 June 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Guillermo Rodriguez Nava, M.D. [2]
Overview
Many authors have concluded that performing a complete assessment, with a detailed history and physical examination, is useful for identifying patients with a higher likelihood of metastases.[1]
Physical Examination
General appearance
- Cachexic: weight loss and anorexia.
- Pale skin and conjunctiva: anemia of chronic disease.
- Cyanotic: dyspnea
- Digital clubbing
HEENT
Head
- Moon facies: Cushing's syndrome
Eyes
- Jaundice: liver metastases OR
- Conjunctival pallor: anemia of chronic disease
- Miosis, ipsilateral ptosis and lack of facial sweating: Horner's syndrome
Throat
Cardiovascular system
Lungs
Abdomen
Musculoskeletal system
Neurologic
Skin
References
- ↑ Spiro SG, Gould MK, Colice GL, American College of Chest Physicians (2007). "Initial evaluation of the patient with lung cancer: symptoms, signs, laboratory tests, and paraneoplastic syndromes: ACCP evidenced-based clinical practice guidelines (2nd edition)". Chest. 132 (3 Suppl): 149S–160S. doi:10.1378/chest.07-1358. PMID 17873166.