Small cell carcinoma of the lung physical examination
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Small Cell Carcinoma of the Lung Microchapters |
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Differentiating Small Cell Carcinoma of the Lung from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Guillermo Rodriguez Nava, M.D. [2]
Overview
Many authors have concluded that performing a complete assessment, with a detailed history and physical examination, is useful for identifying patients with a higher likelihood of metastases.[1]
Physical Examination
General appearance
- Cachexic: weight loss and anorexia.
- Pale skin and conjunctiva: anemia of chronic disease.
- Cyanotic: dyspnea
- Digital clubbing
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Cachexia
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Clubbing -
Clubbing
HEENT
Head
- Moon facies: Cushing's syndrome
Eyes
- Jaundice: liver metastases OR
- Conjunctival pallor: anemia of chronic disease
- Miosis, ipsilateral ptosis and lack of facial sweating: Horner's syndrome
Throat
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Horner's Syndrome
Cardiovascular system
Lungs
Abdomen
Musculoskeletal system
Neurologic
Skin
References
- ↑ Spiro SG, Gould MK, Colice GL, American College of Chest Physicians (2007). "Initial evaluation of the patient with lung cancer: symptoms, signs, laboratory tests, and paraneoplastic syndromes: ACCP evidenced-based clinical practice guidelines (2nd edition)". Chest. 132 (3 Suppl): 149S–160S. doi:10.1378/chest.07-1358. PMID 17873166.