Renal cell carcinoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

Common physical examination findings of renal cell carcinoma include low body mass index, high blood pressure, palpation of abdominal mass, auscultation of abdominal bruit, varicocele, muscle atrophy, skin pallor, facial flushing, and supraclavicular lymphadenopathy.

Physical Examination

Physical examination of patients with [disease name] is usually remarkable for pallor, low body mass index, high blood pressure, palpation of abdominal mass and auscultation of abdominal bruit.

Appearance of the Patient

• Patients with renal cell carcinoma usually appear cachexectic.

Vital Signs

• Hyperthermia may be present.
• High low blood pressure with normal pulse pressure

Skin

• Pallor

HEENT

• Facial flushing may be present.

Neck

• Supraclavicular lymphadenopathy

Lungs

• Pulmonary examination of patients with renal cell carcinoma is usually normal.

Heart

• Cardiovascular examination of patients with renal cell carcinoma is usually normal.

Abdomen

• Palpation of abdominal mass
• Auscultation of abdominal bruit

Back

• Back examination of patients with renal cell carcinoma is usually normal.

Genitourinary

• Varicocele may be present.

Neuromuscular

• Neuromuscular examination of patients with renal cell carcinoma is usually normal.

Extremities

• Muscle atrophy may be present