Gastrointestinal stromal tumor physical examination
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Gastrointestinal stromal tumor Microchapters |
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Differentiating Gastrointestinal stromal tumor from other Diseases |
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melena hematochezia hematemesis, abdominal fullness, palpable mass. dysphagia (GISTs in proximal stomach) gastric outlet obstruction( tumors in pylorus) hemoperitoneum(intraperitoneal rupture of large tumor).
GISTs can occur as part of a syndrome; Carneys triad (gastric GIST, pulmonary chondroma, paraganglioma), or neurofibromatosis type 1 (mostly spindle cell GIST)[27].
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of GIST include abdominal distension and palpable abdominal mass
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- Physical examination of patients with GIST is usually positive for abdominal distension and palpable abdominal mass.
Appearance of the Patient
- Patients with GIST usually appear tired.
Vital Signs
- Low-grade fever
- Hypothermia may be present
- Tachycardia with regular pulse
- Tachypnea
- Low blood pressure
Skin
HEENT
- Icteric sclera (seen in obstructive duodenal GIST)
Neck
- Lymphadenopathy (rare)
Abdomen
- Abdominal distention
- Succussion splash (gastric outlet obstruction with GIST in pylorus)
- Shifting dullness (intraperitoneal rupture of large GIST with hemoperitoneum)
- Palpable abdominal mass (location depends upon the site of GIST)
- Severe cases may have abdominal perforation with signs of peritonitis such as:
- Abdominal tenderness
- Rigidity
- Guarding
Extremities
- Pitting edema of the lower extremities