Gestational trophoblastic neoplasia physical examination

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Template:Choriocarcinoma Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]

Overview

  • A pelvic examination may reveal continued uterine swelling or a tumor.
  • edema of the hands and feet
  • rapid heartbeat
  • fevertrouble
  • breathing
  • ovarian cysts
  • Tachycardia

Physical Examination

Appearance of the Patient

  • If patients typically appear normal, you may write: Patients are usually well-appearing.
  • You may include a physical description such as obese, thin, cachectic, ill appearing, diaphoretic etc. Mention in which cases these findings are present (e.g. well-appearing in early stages of cancer, cachectic in late stage cancer)
  • For an example of the appearance of a patient section in the physical examination page, click here.

Vital Signs

Skin

HEENT

  • Icteric sclera

Lungs

  • Distant breath sounds

Abdomen

Genitourinary

  • A pelvic/adnexal mass may be palpated
  • vaginal discharge

Extremities

  • Clubbing
  • Pitting[edema of the upper/lower extremities

References

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