Basal cell carcinoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]

Overview

The physical examination of basal cell carcinoma is based on a clinical exam.

Physical Examination

The physical examination of basal cell carcinoma is based on a clinical exam.

Face

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

Neck

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Extremities

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  Basal cell carcinoma.

Perineal area

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  Basal cell carcinoma.

Skin

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

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  Basal cell carcinoma.

• File:OR
• File:OR
• File:OR
• File:Appearance of the Patient
• File:Vital Signs
• File:High-grade / low-grade fever
• File:Hypothermia / hyperthermia may be present
• File:Tachycardia with regular pulse or (ir)regularly irregular pulse
• File:Bradycardia with regular pulse or (ir)regularly irregular pulse
• File:Tachypnea / bradypnea
• File:Kussmal respirations may be present in (advanced disease state)
• File:Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
• File:High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure
• File:Skin
• File:OR
• File:Cyanosis
• File:Jaundice
• File:Pallor
• File:Bruises
• File:UploadedImage-01.jpg
• File:Description (Adapted from Dermatology Atlas)
• File:Description (Adapted from Dermatology Atlas)
• File:HEENT
• File:OR
• File:Abnormalities of the head/hair may include
• File:Evidence of trauma
• File:Icteric sclera
• File:Nystagmus
• File:Extra-ocular movements may be abnormal
• File:Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
• File:Ophthalmoscopic exam may be abnormal with findings of
• File:Hearing acuity may be reduced
• File:Weber test may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
• File:Rinne test may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
• File:Exudate from the ear canal
• File:Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
• File:Inflamed nares / congested nares
• File:Purulent exudate from the nares
• File:Facial tenderness
• File:Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
• File:Neck
• File:OR
• File:Jugular venous distension
• File:Carotid bruits may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
• File:Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
• File:Thyromegaly / thyroid nodules
• File:Hepatojugular reflux
• File:Lungs
• File:OR
• File:Asymmetric chest expansion OR decreased chest expansion
• File:Lungs are hyporesonant OR hyperresonant
• File:Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
• File:Rhonchi
• File:Vesicular breath sounds OR distant breath sounds
• File:Expiratory wheezing OR inspiratory wheezing with normal OR delayed expiratory phase
• File:Wheezing may be present
• File:Egophony present/absent
• File:Bronchophony present/absent
• File:Normal/reduced tactile fremitus
• File:Heart
• File:OR
• File:Chest tenderness upon palpation
• File:PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of
• File:Heave / thrill
• File:Friction rub
• File:S1
• File:S2
• File:S3
• File:S4
• File:Gallops
• File:A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope
• File:Abdomen
• File:OR
• File:Abdominal distension
• File:Abdominal tenderness in the right/left upper/lower abdominal quadrant
• File:Rebound tenderness (positive Blumberg sign)
• File:A palpable abdominal mass in the right/left upper/lower abdominal quadrant
• File:Guarding may be present
• File:Hepatomegaly / splenomegaly / hepatosplenomegaly
• File:Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
• File:Back
• File:OR
• File:Point tenderness over vertebrae (e.g. L3-L4)
• File:Sacral edema
• File:Costovertebral angle tenderness bilaterally/unilaterally
• File:Buffalo hump
• File:Genitourinary
• File:OR
• File:A pelvic/adnexal mass may be palpated
• File:Inflamed mucosa
• File:Clear/(color), foul-smelling/odorless penile/vaginal discharge
• File:Neuromuscular
• File:OR
• File:Patient is usually oriented to persons, place, and time
• File:Altered mental status
• File:Glasgow coma scale is / 15
• File:Clonus may be present
• File:Hyperreflexia / hyporeflexia / areflexia
• File:Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
• File:Muscle rigidity
• File:Proximal/distal muscle weakness unilaterally/bilaterally
• File:(finding) suggestive of cranial nerve (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
• File:Unilateral/bilateral upper/lower extremity weakness
• File:Unilateral/bilateral sensory loss in the upper/lower extremity
• File:Positive straight leg raise test
• File:Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
• File:Positive/negative Trendelenburg sign
• File:Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
• File:Normal finger-to-nose test / Dysmetria
• File:Absent/present dysdiadochokinesia (palm tapping test)
• File:Extremities
• File:OR
• File:Clubbing
• File:Cyanosis
• File:Pitting/non-pitting edema of the upper/lower extremities
• File:Muscle atrophy
• File:Fasciculations in the upper/lower extremity