Small cell carcinoma of the lung physical examination: Difference between revisions
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===Neurological=== | ===Neurological=== | ||
*[[Ataxia]], [[dysarthria]], [[nystagmus]] and sever [[vertigo]]: cerebellar degeneration | *[[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 [[ | *Proximal muscles of lower extremities [[weakness]] and fatiguability, abnormal [[gait]], [[hyporeflexia]], increased [[deep-tendon reflexes]] after facilitation, [[autonomic dysfunction]], and [[paresthesias]] | ||
===Skin=== | ===Skin=== | ||
Revision as of 19:59, 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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Treatment |
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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]
Vital signs
- Fever: up to 20% of patients with lung cancer
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.
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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 paresthesias
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.