Pulmonary nodule physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Patients with pulmonary nodule usually are well-appearing. Physical examination of patients with pulmonary nodule usually has no remarkable findings. In some cases, solitary pulmonary nodule may show findings associated with the underlying condition.[1]
Physical Examination
- The following physical examination findings may be present among patients with pulmonary nodule:[2]
General appearance
- Well-appearing
- Older age in relation to chronological age
- Lethargic
- Confused
Vital Signs
- Decreased SPO2
- Tachypnea
- Tachycardia
Chest
Inspection
- Hoarseness
- Rapid rate of breathing
Auscultation
- Present pleural friction rub
- Present egophony
- Crackling or bubbling noises
- Present whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hyporesonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Abdomen
Musculoskeletal
- Palpable soft-tissue mass
- Deformity of metacarpophalangeal joints (Boutonniere deformity)
- Present in rheumatoid nodule
Skin
HEENT
CNS
- Slurred speech
- Confusion