Insulinoma physical examination: Difference between revisions

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{{Insulinoma}}
{{Insulinoma}}
{{CMG}}{{AE}}{{PSD}}
{{CMG}}; {{AE}} {{ADS}}


==Overview==
==Overview==
Physical examination of patients with insulinoma is usually unremarkable.


==Physical Examination==
==Physical Examination==
Common physical examination findings of carcinoid syndrome include:
Physical examination of patients with insulinoma is usually unremarkable.


===Appearance of The Patient===
===Appearance of the Patient===
*Patients with insulinoma usually appear unremarkable. They may have [[altered mental status]] or [[sweating]] rarely.


The patient is often confused and may appear diaphoretic
===Vital Signs===


===Vitals===
*[[Low-grade fever]]
====Pulse====
=====Rate=====
Tachycardia may be present in persons with insulinoma
=====Rhythm=====
Pulse is regular


===Skin===
===Skin===
[[Jaundice]] may be present
* May have [[sweating]]
===Eyes===
 
[[Diplopia]]
===HEENT===
Unremarkable
* No abnormalities of the head/hair
* No evidence of trauma
* Normal sclera
* No [[Nystagmus]]
* Extra-ocular movements are normal
* [[Pupils]] are reactive to light and to [[accommodation]]  
* Ophthalmoscopic exam may be normal
* Hearing acuity is fine
*[[Weber test]] is normal
* No tenderness upon palpation of the ear pinnae/tragus
* No facial tenderness
* No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
 
===Neck===
*Unremarkable
===Lungs===
* Unremarkable
 
===Heart===
===Heart===
Tachycardia may be present
* Unremarkable
 
===Abdomen===
* Unremarkable
 
===Back===
* Unremarkable
 
===Genitourinary===
* Unremarkable
 
===Neuromuscular===
*[[Altered mental status]]/[[confusion]]  may be present
* May be [[comatose]] rarely
* Unilateral/bilateral fine [[Tremor|tremors]] can be present rarely
 
===Extremities===
===Extremities===
Tremors may be present
* Unremarkable
 
===Neurologic===
Mental status may be altered


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


 
{{WH}}
[[Category:Disease]]
{{WS}}
[[Category:Endocrinology]]
[[Category:Up-To-Date]]
[[Category:Mature chapter]]
[[Category:Oncology]]
 
[[Category:Medicine]]
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[[Category:Gastroenterology]]
{{WikiDoc Sources}}
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Latest revision as of 02:07, 27 November 2017

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

Overview

Physical examination of patients with insulinoma is usually unremarkable.

Physical Examination

Physical examination of patients with insulinoma is usually unremarkable.

Appearance of the Patient

Vital Signs

Skin

HEENT

Unremarkable

  • No abnormalities of the head/hair
  • No evidence of trauma
  • Normal sclera
  • No Nystagmus
  • Extra-ocular movements are normal
  • Pupils are reactive to light and to accommodation
  • Ophthalmoscopic exam may be normal
  • Hearing acuity is fine
  • Weber test is normal
  • No tenderness upon palpation of the ear pinnae/tragus
  • No facial tenderness
  • No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae

Neck

  • Unremarkable

Lungs

  • Unremarkable

Heart

  • Unremarkable

Abdomen

  • Unremarkable

Back

  • Unremarkable

Genitourinary

  • Unremarkable

Neuromuscular

Extremities

  • Unremarkable

References

Template:WH Template:WS