Lung cancer physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.
Overview
Common physical examination findings of lung cancer include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.
Physical Examination
Common physical examination findings of lung cancer include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.[1]
General appearance
Vital Signs
- Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs:
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
- Low BP
Chest
- Decreased/absent breath sounds
Abdomen
- Discomfort on palpation
- Hepatomegaly
- Ascites
Skeletal
- Bone pain
- Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)
Skin
HEENT
- Jaundice
- Lymphadenopathy
- Visual defects
- Rounded face
- Increased fat around the neck
CNS
- Cranial nerve palsies
Extremities
- Clubbing of fingers
- Swelling of hands and feet
- Weakness
- Hemiplegia
- Shoulder pain (caused by a Pancoast tumor)
- Thinning arms and legs
References
- ↑ Degner, Lesley F.; Sloan, Jeffrey A. (1995). "Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer". Journal of Pain and Symptom Management. 10 (6): 423–431. doi:10.1016/0885-3924(95)00056-5. ISSN 0885-3924.