Smoking physical examination

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Case #1

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

The physical examination of a patient who smokes may have tachycardia, hypertension, tachypnea, smoke-odored clothing, stained teeth or fingernails, hoarse voice and wheezing.[1][2][3][4]

Physical Examination

The physical examination of a patient who smokes may yield the following findings:[1][2][3][4]

General Examination

  • Tired apearance
  • Smoke-odored clothing
  • Hoarse voice

Vitals

Orofacial

  • Stained teeth or fingernails
  • Tooth loss
  • Gum stains
  • Gum bleeding

Cardiovascular System

Gastrointestinal

Respiratory System

Ophthalmology

Musculoskeletal

Neurological and Psychiatric

Pregnancy

References

  1. 1.0 1.1 Parsons A, Daley A, Begh R, Aveyard P (2010). "Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis". BMJ. 340: b5569. doi:10.1136/bmj.b5569. PMC 2809841. PMID 20093278.
  2. 2.0 2.1 Iribarren C, Tekawa IS, Sidney S, Friedman GD (1999). "Effect of cigar smoking on the risk of cardiovascular disease, chronic obstructive pulmonary disease, and cancer in men". N Engl J Med. 340 (23): 1773–80. doi:10.1056/NEJM199906103402301. PMID 10362820.
  3. 3.0 3.1 Boffetta P, Pershagen G, Jöckel KH, Forastiere F, Gaborieau V, Heinrich J; et al. (1999). "Cigar and pipe smoking and lung cancer risk: a multicenter study from Europe". J Natl Cancer Inst. 91 (8): 697–701. PMID 10218507.
  4. 4.0 4.1 Henley SJ, Thun MJ, Chao A, Calle EE (2004). "Association between exclusive pipe smoking and mortality from cancer and other diseases". J Natl Cancer Inst. 96 (11): 853–61. PMID 15173269.



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