Lung cancer physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.

Overview

Generally, the most common signs of lung cancer are decreased/absent breath sounds, wheeze, chest pain, emaciation, lethargy, and pallor. Other signs include metastases to the liver, brain, and adrenal glands (Cushing's syndrome).

Lung Cancer Physical Examination

General appearance

  • Lethargic
  • Pale
  • Emaciated
  • Confused
  • Upper body obesity

Vital Signs

  • Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs:

Chest

  • Decreased/absent breath sounds
  • Wheeze
  • Chest pain

Abdomen

Skeletal

  • Bone pain
  • Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)

Skin

HEENT

CNS

  • Cranial nerve palsies

Extremities

  • Clubbing of fingers
  • Swelling of hands and feet
  • Weakness
  • Hemiplegia
  • Shoulder pain (caused by a Pancoast tumor)
  • Thinning arms and legs

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