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... |
||
| Line 12: | Line 12: | ||
===General appearance=== | ===General appearance=== | ||
*[[Cachexic]]: [[weight loss]] and [[anorexia]]. | *[[Cachexic]]: [[weight loss]] and [[anorexia]]. | ||
*[[Jaundice]]: liver metastases | |||
*[[Pale skin]] and conjunctiva: [[anemia of chronic disease]]. | *[[Pale skin]] and conjunctiva: [[anemia of chronic disease]]. | ||
*[[Cyanotic]]: [[dyspnea]] | *[[Cyanotic]]: [[dyspnea]] | ||
*[[Lymphadenopathy]] (> 1 cm) | *[[Lymphadenopathy]] (> 1 cm) | ||
*Soft tissue mass | *Soft tissue mass | ||
| Line 22: | Line 21: | ||
<gallery heights="145" widths="375"> | <gallery heights="145" widths="375"> | ||
Image:Cachexia.jpg|Cachexia | Image:Cachexia.jpg|Cachexia | ||
</gallery> | </gallery> | ||
</div> | </div> | ||
| Line 60: | Line 52: | ||
===Musculoskeletal system=== | ===Musculoskeletal system=== | ||
*[[Digital clubbing]] | |||
*[[Bone]] [[tenderness]]: [[bone]] [[metastases]] | |||
*[[Osteoarthropathy]]: painful symmetrical arthropathy of the knees, wrist, and knees, and periosteal new [[bone]] formation. | |||
<div align="left"> | |||
<gallery heights="175" widths="175"> | |||
Image:Clubbing.Nail.jpg|Clubbing | |||
Image:clubbing.jpg|Clubbing | |||
</gallery> | |||
</div> | |||
===Neurological=== | |||
*[[Ataxia]], [[dysarthria]], [[nystagmus]] and sever [[vertigo]]: cerebellar degeneration. | |||
*Proximal muscles of lower extremities [[weakness]] and fatiguability, abnormal [[gait]], [[hyporeflexia]], increased [[deep-tendon reflexes]] after facilitation, [[autonomic dysfunction]], and [[paresthesia]] | |||
===Skin=== | ===Skin=== | ||
*Acquired [[Tylosis]] | |||
*Trip palms | |||
*[[Erythema]] gyratum repens | |||
==References== | ==References== | ||
Revision as of 15:11, 10 June 2014
|
Small Cell Carcinoma of the Lung Microchapters |
|
Differentiating Small Cell Carcinoma of the Lung from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Small cell carcinoma of the lung physical examination On the Web |
|
American Roentgen Ray Society Images of Small cell carcinoma of the lung physical examination |
|
FDA on Small cell carcinoma of the lung physical examination |
|
CDC on Small cell carcinoma of the lung physical examination |
|
Small cell carcinoma of the lung physical examination in the news |
|
Blogs on Small cell carcinoma of the lung physical examination |
|
Directions to Hospitals Treating Small cell carcinoma of the lung |
|
Risk calculators and risk factors for Small cell carcinoma of the lung physical examination |
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.
- Jaundice: liver metastases
- Pale skin and conjunctiva: anemia of chronic disease.
- Cyanotic: dyspnea
- Lymphadenopathy (> 1 cm)
- Soft tissue mass
-
Cachexia
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
-
Horner's Syndrome
Lungs
- Unilateral wheeze
- Pleural effusion
Abdomen
- Hepatomegaly (> 13 cm span): liver metastases
Musculoskeletal system
- Digital clubbing
- Bone tenderness: bone metastases
- Osteoarthropathy: painful symmetrical arthropathy of the knees, wrist, and knees, and periosteal new bone formation.
-
Clubbing -
Clubbing
Neurological
- Ataxia, dysarthria, nystagmus and sever vertigo: cerebellar degeneration.
- Proximal muscles of lower extremities weakness and fatiguability, abnormal gait, hyporeflexia, increased deep-tendon reflexes after facilitation, autonomic dysfunction, and paresthesia
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.