Carotid body tumor physical examination: Difference between revisions

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{{Carotid body tumor}}
{{Carotid body tumor}}


{{CMG}}; {{AE}} {{Sahar}}
{{CMG}}; {{AE}} {{Sahar}} {{MV}}


==Overview==
==Overview==
Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for a palpable, painless, rubbery mass at the lateral side of the neck.
Patients with [[carotid body]] [[tumor]] usually appear normal. [[Physical examination]] of patients with [[carotid body]] [[tumor]] is usually remarkable for a [[palpable]], painless, rubbery [[mass]] at the [[lateral]] side of the [[neck]].


==Physical Examination==
==Physical Examination==
Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for a palpable, painless, rubbery mass at the lateral side of the neck.
Patients with [[carotid body]] [[tumor]] usually appear normal. [[Physical examination]] of patients with [[carotid body]] [[tumor]] is usually remarkable for a [[palpable]], painless, rubbery [[mass]] at the [[lateral]] side of the [[neck]].


===Appearance of the Patient===
===Appearance of the Patient===
*Patients with carotid body tumor usually appear pale or diaphoretic depending on the capacity of the tumor for hormone production.
*Patients with [[carotid body]] [[tumor]] usually appear [[Pallor|pale]] or [[diaphoretic]] depending on the capacity of the [[tumor]] for [[hormone]] production.


===Vital Signs===
===Vital Signs===
*Vital signs are usually normal.
*Vital signs are usually normal.
*In case of ca[pability of the tumor for catecholamine production:
*In case of capability of the tumor for [[catecholamine]] production:
**[[Tachycardia]] with a regular pulse may be present.
**[[Tachycardia]] with a regular [[pulse]] may be present.
**High blood pressure with normal pulse pressure may be present.
**[[High blood pressure]] with normal [[pulse]] pressure may be present.


===Skin===
===Skin===
* Skin examination of patients with carotid body tumor is usually normal.
* Skin examination of patients with [[carotid body]] [[tumor]] is usually normal.
* [[Pallor]] may be present in case of concomitant production of catecholamines by the tumor.
* [[Pallor]] may be present in case of concomitant production of [[Catecholamine|catecholamines]] by the [[tumor]].


===HEENT===
===HEENT===
* HEENT examination of patients with carotid body tumor is usually normal.
* HEENT examination of patients with [[carotid body]] [[tumor]] is usually normal.


===Neck===
===Neck===
* Neck examination of patients with carotid body tumor is remarkable for:
* [[Neck]] examination of patients with [[carotid body]] [[tumor]] is remarkable for:
'''Palpation'''
'''Palpation'''
:*Palpable, painless, rubbery mass along the anterior border of the sternocleidomastoid muscle.<ref name="PatetsiosGable2002">{{cite journal|last1=Patetsios|first1=Peter|last2=Gable|first2=Dennis R.|last3=Garrett|first3=Wilson V.|last4=Lamont|first4=Jeffrey P.|last5=Kuhn|first5=Joseph A.|last6=Shutze|first6=William P.|last7=Kourlis|first7=Harry|last8=Grimsley|first8=Bradley|last9=Pearl|first9=Gregory J.|last10=Smith|first10=Bertram L.|last11=Talkington|first11=C.M.|last12=Thompson|first12=Jesse E.|title=Management of Carotid Body Paragangliomas and Review of a 30-year Experience|journal=Annals of Vascular Surgery|volume=16|issue=3|year=2002|pages=331–338|issn=08905096|doi=10.1007/s10016-001-0106-8}}</ref>
:*[[Palpable]], painless, rubbery [[mass]] along the anterior border of the [[sternocleidomastoid muscle]].<ref name="PatetsiosGable2002">{{cite journal|last1=Patetsios|first1=Peter|last2=Gable|first2=Dennis R.|last3=Garrett|first3=Wilson V.|last4=Lamont|first4=Jeffrey P.|last5=Kuhn|first5=Joseph A.|last6=Shutze|first6=William P.|last7=Kourlis|first7=Harry|last8=Grimsley|first8=Bradley|last9=Pearl|first9=Gregory J.|last10=Smith|first10=Bertram L.|last11=Talkington|first11=C.M.|last12=Thompson|first12=Jesse E.|title=Management of Carotid Body Paragangliomas and Review of a 30-year Experience|journal=Annals of Vascular Surgery|volume=16|issue=3|year=2002|pages=331–338|issn=08905096|doi=10.1007/s10016-001-0106-8}}</ref>
:*The tumor moves freely in the horizontal plane at a greater extent than in the vertical plane (‘Fontaine’s sign’).
:*The [[tumor]] moves freely in the [[horizontal plane]] at a greater extent than in the vertical plane (‘Fontaine’s sign’).
'''Auscultation'''
'''Auscultation'''
:*Bruit
:*[[Bruit]]
:*Sometimes, a bruit can be present over the anterior neck area.<ref name="pmid17577510">{{cite journal |vauthors=Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G |title=Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology |journal=J. Oral Maxillofac. Surg. |volume=65 |issue=7 |pages=1388–93 |date=July 2007 |pmid=17577510 |doi=10.1016/j.joms.2005.12.036 |url=}}</ref>
:*Sometimes, a [[bruit]] can be present over the anterior [[neck]] area.<ref name="pmid17577510">{{cite journal |vauthors=Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G |title=Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology |journal=J. Oral Maxillofac. Surg. |volume=65 |issue=7 |pages=1388–93 |date=July 2007 |pmid=17577510 |doi=10.1016/j.joms.2005.12.036 |url=}}</ref>
:*The presence of bruit is not essential for the diagnosis.
:*The presence of [[bruit]] is not essential for the [[diagnosis]].


===Lungs===
===Lungs===
* Pulmonary examination of patients with carotid body tumor is usually normal.
* [[Pulmonary examination]] of patients with [[carotid body]] [[tumor]] is usually normal.


===Heart===
===Heart===
* Cardiovascular examination of patients with carotid body tumor is usually normal.
* [[Cardiovascular]] examination of patients with [[carotid body]] [[tumor]] is usually normal.


===Abdomen===
===Abdomen===
* Abdominal examination of patients with carotid body tumor is usually normal.
* [[Abdominal]] examination of patients with [[carotid body]] [[tumor]] is usually normal.


===Back===
===Back===
* Back examination of patients with carotid body tumor is usually normal.
* Back examination of patients with [[carotid body]] [[tumor]] is usually normal.


===Genitourinary===
===Genitourinary===
* Genitourinary examination of patients with carotid body tumor is usually normal.
* [[Genitourinary]] examination of patients with [[carotid body]] [[tumor]] is usually normal.


===Neurologic===
===Neurological===
* Neurologic examination of patients with carotid body tumor is usually normal.
* [[Neurological examination]] of patients with [[carotid body]] [[tumor]] is usually normal.
* Cranial nerve palsy may be observed in 10% of the cases. The following nerve palsies may be observed:<ref name="Işıkİmamoğlu2007">{{cite journal|last1=Işık|first1=A. Cemal Ümit|last2=İmamoğlu|first2=Mehmet|last3=Erem|first3=Cihangir|last4=Sarı|first4=Ahmet|title=Paragangliomas of the Head and Neck|journal=Medical Principles and Practice|volume=16|issue=3|year=2007|pages=209–214|issn=1011-7571|doi=10.1159/000100392}}</ref>
* [[Cranial nerve palsy]] may be observed in 10% of the cases. The following [[Nerve palsy|nerve palsies]] may be observed:<ref name="Işıkİmamoğlu2007">{{cite journal|last1=Işık|first1=A. Cemal Ümit|last2=İmamoğlu|first2=Mehmet|last3=Erem|first3=Cihangir|last4=Sarı|first4=Ahmet|title=Paragangliomas of the Head and Neck|journal=Medical Principles and Practice|volume=16|issue=3|year=2007|pages=209–214|issn=1011-7571|doi=10.1159/000100392}}</ref>
** Hypoglossal
** [[Hypoglossal]]
** Glossopharyngeal
** [[Glossopharyngeal nerve|Glossopharyngeal]]
** Recurrent laryngeal
** [[Recurrent laryngeal nerve|Recurrent laryngeal]]
** Spinal accessory nerve
** [[Spinal accessory nerve]]
* Sympathetic chain involvement may be associated with:
* [[Sympathetic chain]] involvement may be associated with:
** Horner syndrome
** [[Horner syndrome]]
** Shoulder drop
** [[Shoulder]] drop


===Muscular===
===Muscular===
Muscular examination of patients with carotid body tumor is usually normal.
[[Muscular]] examination of patients with [[carotid body]] [[tumor]] is usually normal.


===Extremities===
===Extremities===
* Extremities examination of patients with carotid body tumor is usually normal.
* Extremities examination of patients with [[carotid body]] [[tumor]] is usually normal.


==References==
==References==
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{{WS}}
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[[Category: (name of the system)]]
 
[[Category:Medicine]]
[[Category:Oncology]]
[[Category:Up-To-Date]]
[[Category:Surgery]]

Latest revision as of 20:49, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2] Maria Fernanda Villarreal, M.D. [3]

Overview

Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for a palpable, painless, rubbery mass at the lateral side of the neck.

Physical Examination

Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for a palpable, painless, rubbery mass at the lateral side of the neck.

Appearance of the Patient

Vital Signs

Skin

HEENT

Neck

Palpation

Auscultation

Lungs

Heart

Abdomen

Back

Genitourinary

Neurological

Muscular

Muscular examination of patients with carotid body tumor is usually normal.

Extremities

References

  1. ↑ Patetsios, Peter; Gable, Dennis R.; Garrett, Wilson V.; Lamont, Jeffrey P.; Kuhn, Joseph A.; Shutze, William P.; Kourlis, Harry; Grimsley, Bradley; Pearl, Gregory J.; Smith, Bertram L.; Talkington, C.M.; Thompson, Jesse E. (2002). "Management of Carotid Body Paragangliomas and Review of a 30-year Experience". Annals of Vascular Surgery. 16 (3): 331–338. doi:10.1007/s10016-001-0106-8. ISSN 0890-5096.
  2. ↑ Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G (July 2007). "Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology". J. Oral Maxillofac. Surg. 65 (7): 1388–93. doi:10.1016/j.joms.2005.12.036. PMID 17577510.
  3. ↑ Işık, A. Cemal Ümit; İmamoğlu, Mehmet; Erem, Cihangir; Sarı, Ahmet (2007). "Paragangliomas of the Head and Neck". Medical Principles and Practice. 16 (3): 209–214. doi:10.1159/000100392. ISSN 1011-7571.

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