Small intestine cancer physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Qurrat-ul-ain Abid, M.D.[2]

Overview

Generally, the most common signs of small intestinal cancer are emaciation, lethargy, abdominal tenderness, abdominal mass, hepatomegaly, ascites, icterus, enlarged lymph nodes and pallor. Other signs include low-grade fever, discomfort on palpation, rectal bleeding, abdominal mass, and jaundice.

Physical Examination

Appearance of the Patient:

Vital Signs:

Skin:

HEENT:

Neck:

Lungs:

  • Lungs may be normal on auscultation

Heart:

  • Heart sounds may be normal
  • In case of distant involvement there may be findings on auscultation

Abdomen:

Back:

  • Physical examination of back is usually normal in patients with small intestine cancer

Genitourinary:

Abdomen:

Neuromuscular:

  • Depending on the stage of the disease may be normal or agitated

Extremities:

  • Extremities may show mass loss and emaciation in late stage

References

  1. Higashi D, Ishibashi Y, Tamura T, Nii K, Egawa Y, Koga M, Tomiyasu T, Harimura T, Tanaka R, Futatsuki R, Noda S, Futami K, Maekawa T, Takaki Y, Hirai F, Matsui T (August 2010). "Clinical features of and chemotherapy for cancer of the small intestine". Anticancer Res. 30 (8): 3193–7. PMID 20871040.

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