Sexcord/ stromal ovarian tumors physical examination: Difference between revisions

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{{Sexcord/ stromal ovarian tumors}}
{{Sexcord/ stromal ovarian tumors}}


{{CMG}}; {{AE}}
{{CMG}}; {{AE}};{{M.N}}


==Overview==
==Overview==
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
[[Patients]] with sexcord/ stromal ovarian tumors usually appear normal except few [[abdominal]] or [[pelvic]] and [[genitourinary]] findings on [[examination]]. Abdominal findings include [[Abdominal distension]], increased [[abdominal]] girth, [[abdominal tenderness]] in the right[[Left lower quadrant abdominal pain resident survival guide|/left lower abdominal quadrant]], a [[palpable]] [[abdominal mass]] in the right/left lower abdominal quadrant, [[guarding]], [[ascites]], [[hemoperitoneum]].
 
OR
 
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
 
OR
 
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
 
OR
 
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].


==Physical Examination==
==Physical Examination==
Physical examination of patients with [disease name] is usually normal.
[[Physical examination]] of [[patients]] with sexcord/ stromal ovarian tumors is usually normal, except few [[abdominal]] and [[genitourinary]] findings
 
OR
 
Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
 
OR
 
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
 
OR
 
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].


===Appearance of the Patient===
===Appearance of the Patient===
*Patients with [disease name] usually appear [general appearance].
*[[Patients]] with sexcord/ stromal ovarian tumors usually appear normal


===Vital Signs===
===Vital Signs===
 
Normal
*High-grade / low-grade fever
*[[Hypothermia]] / hyperthermia may be present
*[[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
*[[Bradycardia]] with regular pulse or (ir)regularly irregular pulse
*Tachypnea / bradypnea
*Kussmal respirations may be present in _____ (advanced disease state)
*Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
*High/low blood pressure with normal pulse pressure / [[wide pulse pressure]] / [[narrow pulse pressure]]


===Skin===
===Skin===
* Skin examination of patients with sexcord/ stromal ovarian tumors is usually normal.
* [[Skin]] [[Physical examination|examination]] of [[patients]] with sexcord/ stromal ovarian tumors is usually normal.
 
 
<gallery widths="150px">
 
UploadedImage-01.jpg | Description {{dermref}}
UploadedImage-02.jpg | Description {{dermref}}
 
</gallery>


===HEENT===
===HEENT===
* HEENT examination of patients with [disease name] is usually normal.
* HEENT [[examination]] of [[patients]] with sexcord/ stromal ovarian tumors is usually normal.
OR
* Abnormalities of the head/hair may include ___
* Evidence of trauma
* Icteric sclera
* [[Nystagmus]]  
* Extra-ocular movements may be abnormal
*Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
*Ophthalmoscopic exam may be abnormal with findings of ___
* Hearing acuity may be reduced
*[[Weber test]] may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
*[[Rinne test]] may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
* [[Exudate]] from the ear canal
* Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
*Inflamed nares / congested nares
* [[Purulent]] exudate from the nares
* Facial tenderness
* Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae


===Neck===
===Neck===
* Neck examination of patients with [disease name] is usually normal.
* [[Neck]] [[examination]] of [[patients]] with sexcord/ stromal ovarian tumors is usually normal.
OR
*[[Jugular venous distension]]
*[[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
*[[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
*[[Thyromegaly]] / thyroid nodules
*[[Hepatojugular reflux]]


===Lungs===
===Lungs===
* Pulmonary examination of patients with [disease name] is usually normal.
* [[Pulmonary]] [[examination]] of [[patients]] with sexcord/ stromal ovarian tumors is usually normal.
OR
*Sometimes they do present with [[pleural effusion]] showing
* Asymmetric chest expansion OR decreased chest expansion
**Hyperresonance
*Lungs are hyporesonant OR hyperresonant
**Dullness to [[percussion]]
*Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
**Decreased [[tactile fremitus]]
*Rhonchi
**Asymmetric [[chest expansion]]
*Vesicular breath sounds OR distant breath sounds
*Expiratory wheezing OR inspiratory wheezing with normal OR delayed expiratory phase
*[[Wheezing]] may be present
*[[Egophony]] present/absent
*[[Bronchophony]] present/absent
*Normal/reduced [[tactile fremitus]]


===Heart===
===Heart===
* Cardiovascular examination of patients with [disease name] is usually normal.
* [[Cardiovascular]] [[examination]] of [[patients]] with sexcord/ stromal ovarian tumors  is usually normal.
OR
*Chest tenderness upon palpation
*PMI within 2 cm of the sternum  (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
*[[Heave]] / [[thrill]]
*[[Friction rub]]
*[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
*[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
*[[Heart sounds#Third heart sound S3|S3]]
*[[Heart sounds#Fourth heart sound S4|S4]]
*[[Heart sounds#Summation Gallop|Gallops]]
*A high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope


===Abdomen===
===Abdomen===
*[[Abdominal distension]]  
*[[Abdominal distension]]  
*Increased abdominal girth
*Increased [[abdominal]] girth
*[[Abdominal tenderness]] in the right/left lower abdominal quadrant  
*[[Abdominal tenderness]] in the right[[Left lower quadrant abdominal pain resident survival guide|/left lower abdominal quadrant]]
*A palpable abdominal mass in the right/left lower abdominal quadrant
*A [[palpable]] [[abdominal mass]] in the right/left lower abdominal quadrant
*Guarding may be present
*[[Guarding]] may be present
*Ascites  
*[[Ascites]]
*Hemoperitoneum
*[[Hemoperitoneum]]


===Back===
===Back===
* Back examination of patients with [disease name] is usually normal.
* [[Back]] [[examination]] of [[patients]] with sexcord/ stromal ovarian tumors is usually normal.
OR
*Point tenderness over __ vertebrae (e.g. L3-L4)
*Sacral edema
*Costovertebral angle tenderness bilaterally/unilaterally
*Buffalo hump


===Genitourinary===
===Genitourinary===
*A pelvic/adnexal mass may be palpated
*A [[Pelvic Masses|pelvic]]/[[Adnexal mass causes|adnexal mass]] may be [[Palpate|palpated]]


===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with  sexcord/ stromal ovarian tumors is usually normal.
* [[Neuromuscular]] [[examination]] of [[patients]] with  sexcord/ stromal ovarian tumors is usually normal.


===Extremities===
===Extremities===
* Extremities examination of patients with sexcord/ stromal ovarian tumors is usually normal.
* [[Extremities]] [[examination]] of [[patients]] with sexcord/ stromal ovarian tumors is usually normal.


==References==
==References==
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[[Category: (name of the system)]]
[[Category:Disease]]
[[Category:Types of cancer]]
[[Category:Gynecology]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gynecology]]
[[Category:Surgery]]

Latest revision as of 18:52, 5 May 2019

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

Overview

Patients with sexcord/ stromal ovarian tumors usually appear normal except few abdominal or pelvic and genitourinary findings on examination. Abdominal findings include Abdominal distension, increased abdominal girth, abdominal tenderness in the right/left lower abdominal quadrant, a palpable abdominal mass in the right/left lower abdominal quadrant, guarding, ascites, hemoperitoneum.

Physical Examination

Physical examination of patients with sexcord/ stromal ovarian tumors is usually normal, except few abdominal and genitourinary findings

Appearance of the Patient

  • Patients with sexcord/ stromal ovarian tumors usually appear normal

Vital Signs

Normal

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

References

Template:WH Template:WS

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