Carcinoid syndrome physical examination

Carcinoid syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Carcinoid Syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Staging
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
CT
MRI
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Carcinoid syndrome physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Carcinoid syndrome physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Carcinoid syndrome physical examination
CDC on Carcinoid syndrome physical examination
Carcinoid syndrome physical examination in the news
Blogs on Carcinoid syndrome physical examination
Directions to Hospitals Treating Carcinoid syndrome
Risk calculators and risk factors for Carcinoid syndrome physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A patient may present and verbally identify symptoms such as flushing and diarrhea. During examination, evidence of T.I.P.S. - tricuspid insufficency pulmonic stenosis may appear. In many cases, increased levels of 5-HIAA may be found in urine specimens.

Physical Examination

Clinical findings include:

• Flushing of the skin
• Diarrhea and abdominal cramps
• Right sided heart disease
• Bronchoconstriction
• Abdominal pain due to desmoplastic reaction of the mesentery
• In most patients, increased urinary excretion of 5-HIAA (5-hydroxyindoleacetic acid), a degradation product of serotonin
• Serotonin causes fibrosis of the tricuspid valve and pulmonary valve
  • "TIPS" - Tricuspid Insufficiency, Pulmonic Stenosis (fibrosis of tricuspid and pulmonary valves)

References

Template:WikiDoc Sources