Small cell carcinoma of the lung physical examination: Difference between revisions
/* Physical Examination{{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... |
/* Physical Examination{{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... |
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*[[Cyanotic]]: [[dyspnea]] | *[[Cyanotic]]: [[dyspnea]] | ||
*[[Digital clubbing]] | *[[Digital clubbing]] | ||
*[[ | *[[Lymphadenopathy]] (> 1 cm) | ||
*[[Bone]] [[tenderness]]: [[bone]] [[metastases]] | *[[Bone]] [[tenderness]]: [[bone]] [[metastases]] | ||
*Soft tissue mass | *Soft tissue mass | ||
Revision as of 14:53, 10 June 2014
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Small Cell Carcinoma of the Lung Microchapters |
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Differentiating Small Cell Carcinoma of the Lung from other Diseases |
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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[1][2]
General appearance
- Cachexic: weight loss and anorexia.
- Pale skin and conjunctiva: anemia of chronic disease.
- Cyanotic: dyspnea
- Digital clubbing
- Lymphadenopathy (> 1 cm)
- Bone tenderness: bone metastases
- Soft tissue mass
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Cachexia
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Clubbing -
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
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Horner's Syndrome
Lungs
- Unilateral wheeze
- Pleural effusion
Abdomen
- Hepatomegaly (> 13 cm span): liver metastases
Musculoskeletal system
Neurologic
Skin
References
- ↑ 1.0 1.1 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.
- ↑ van Meerbeeck JP, Fennell DA, De Ruysscher DK (2011). "Small-cell lung cancer". Lancet. 378 (9804): 1741–55. doi:10.1016/S0140-6736(11)60165-7. PMID 21565397.