Insulinoma physical examination

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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

• Patients with insulinoma usually appear unremarkable. They may have altered mental status or sweating rarely.

Vital Signs

• Low-grade fever

Skin

• May have sweating

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

• Altered mental status/confusion may be present
• May be comatose rarely
• Unilateral/bilateral fine tremors can be present rarely

Extremities

• Unremarkable