Colorectal cancer physical examination
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To view the physical examination of familial adenomatous polyposis (FAP), click here
To view the physical examination of hereditary nonpolyposis colorectal cancer (HNPCC), click here
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 colorectal cancer are emaciation, lethargy, and paleness. Other signs include fever, discomfort on palpation, ascites, rectal bleeding, rectal mass, and jaundice.
Colorectal Cancer Physical Examination
General appearance
- Lethargic
- Pale
- Emaciated
- Confused
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease may have the following vital signs:
- Fever
- Decreased SPO2
- Tachyapnea
- Tachycardia
- Low BP
Abdomen
- Discomfort on palpation
- Hepatomegaly
- Absent bowel sounds - indicates intestinal obstruction
- Ascites
Rectal exam
- Rectal bleeding
- Rectal mass
Chest
- Decreased/absent breath sounds
Skin
HEENT
- Jaundice
- Lymphadenopathy
Extremities
- Swelling of hands and feet