Lung cancer physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]]. | Common [[physical examination]] findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]].<ref name="DegnerSloan1995">{{cite journal|last1=Degner|first1=Lesley F.|last2=Sloan|first2=Jeffrey A.|title=Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer|journal=Journal of Pain and Symptom Management|volume=10|issue=6|year=1995|pages=423–431|issn=08853924|doi=10.1016/0885-3924(95)00056-5}}</ref><ref name="pmid2299974">{{cite journal |vauthors=Feinstein AR, Wells CK |title=A clinical-severity staging system for patients with lung cancer |journal=Medicine (Baltimore) |volume=69 |issue=1 |pages=1–33 |year=1990 |pmid=2299974 |doi= |url=}}</ref><ref name="pmid2992757">{{cite journal |vauthors=Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J |title=Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont |journal=Cancer |volume=56 |issue=8 |pages=2107–11 |year=1985 |pmid=2992757 |doi= |url=}}</ref><ref name="pmid9266882">{{cite journal |vauthors=Hirshberg B, Biran I, Glazer M, Kramer MR |title=Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital |journal=Chest |volume=112 |issue=2 |pages=440–4 |year=1997 |pmid=9266882 |doi= |url=}}</ref><ref name="pmid10669674">{{cite journal |vauthors=Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP |title=Non-small cell lung cancer in very young and very old patients |journal=Chest |volume=117 |issue=2 |pages=354–7 |year=2000 |pmid=10669674 |doi= |url=}}</ref><ref name="pmid21276318">{{cite journal |vauthors=Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J |title=Superior vena cava syndrome in thoracic malignancies |journal=Respir Care |volume=56 |issue=5 |pages=653–66 |year=2011 |pmid=21276318 |doi=10.4187/respcare.00947 |url=}}</ref><ref name="Buccheri2004">{{cite journal|last1=Buccheri|first1=G.|title=Lung cancer: clinical presentation and specialist referral time|journal=European Respiratory Journal|volume=24|issue=6|year=2004|pages=898–904|issn=0903-1936|doi=10.1183/09031936.04.00113603}}</ref> | Common [[physical examination]] findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]].<ref name="DegnerSloan1995">{{cite journal|last1=Degner|first1=Lesley F.|last2=Sloan|first2=Jeffrey A.|title=Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer|journal=Journal of Pain and Symptom Management|volume=10|issue=6|year=1995|pages=423–431|issn=08853924|doi=10.1016/0885-3924(95)00056-5}}</ref><ref name="pmid2299974">{{cite journal |vauthors=Feinstein AR, Wells CK |title=A clinical-severity staging system for patients with lung cancer |journal=Medicine (Baltimore) |volume=69 |issue=1 |pages=1–33 |year=1990 |pmid=2299974 |doi= |url=}}</ref><ref name="pmid2992757">{{cite journal |vauthors=Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J |title=Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont |journal=Cancer |volume=56 |issue=8 |pages=2107–11 |year=1985 |pmid=2992757 |doi= |url=}}</ref><ref name="pmid9266882">{{cite journal |vauthors=Hirshberg B, Biran I, Glazer M, Kramer MR |title=Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital |journal=Chest |volume=112 |issue=2 |pages=440–4 |year=1997 |pmid=9266882 |doi= |url=}}</ref><ref name="pmid10669674">{{cite journal |vauthors=Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP |title=Non-small cell lung cancer in very young and very old patients |journal=Chest |volume=117 |issue=2 |pages=354–7 |year=2000 |pmid=10669674 |doi= |url=}}</ref><ref name="pmid21276318">{{cite journal |vauthors=Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J |title=Superior vena cava syndrome in thoracic malignancies |journal=Respir Care |volume=56 |issue=5 |pages=653–66 |year=2011 |pmid=21276318 |doi=10.4187/respcare.00947 |url=}}</ref><ref name="Buccheri2004">{{cite journal|last1=Buccheri|first1=G.|title=Lung cancer: clinical presentation and specialist referral time|journal=European Respiratory Journal|volume=24|issue=6|year=2004|pages=898–904|issn=0903-1936|doi=10.1183/09031936.04.00113603}}</ref> | ||
=== | ===Appearance of the Patient=== | ||
*[[Lethargic]] | *[[Lethargic]] | ||
*Emaciated | *[[Emaciation|Emaciated]] | ||
*Confused | *[[Confusion|Confused]] | ||
*Upper body [[obesity]] | *Upper [[Human body|body]] [[obesity]] | ||
===Vital Signs=== | ===Vital Signs=== | ||
* Vital signs are generally within normal limit, but patients with severe disease may present | *[[Vital signs]] are generally within normal limit, but [[Patient|patients]] with severe [[disease]] may present with: | ||
:* Low-grade [[fever]] | :* Low-grade [[fever]] | ||
:* Decreased SPO2 | :* Decreased [[Oxygen saturation|SPO2]] | ||
:* [[Tachypnea]] | :* [[Tachypnea]] | ||
:* [[Tachycardia]] | :* [[Tachycardia]] | ||
:* | :*[[Hypotension]] | ||
===Skin=== | |||
*[[Pallor]] | |||
*[[Jaundice]] | |||
===HEENT=== | |||
*[[Jaundice]] | |||
*[[Lymphadenopathy]] | |||
*[[Visual system|Visual]] defects | |||
*[[Moon facies|Rounded face]] | |||
*[[Buffalo hump|Increased fat around the neck]] | |||
===Neck=== | |||
* [[Neck]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal. | |||
===Lungs=== | |||
*Decreased/absent [[breath sounds]] | *Decreased/absent [[breath sounds]] | ||
===Heart=== | |||
* [[Cardiovascular]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal. | |||
===Abdomen=== | ===Abdomen=== | ||
*Discomfort on palpation | *[[Discomfort]] on [[palpation]] | ||
*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
*[[Ascites]] | *[[Ascites]] | ||
=== | ===Back=== | ||
* | * [[Human back|Back]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal. | ||
=== | ===Genitourinary=== | ||
* [[Genitourinary system|Genitourinary]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal. | |||
*[[ | |||
=== | ===Neuromuscular=== | ||
*Cranial nerve palsies | *[[Bone pain]] | ||
*[[Bone fracture|Fractures]] (usually in the [[Vertebra|vertebrae]], [[femur]], [[Pelvis|pelvic bones]], and the [[Rib|ribs]]) | |||
*[[Cranial nerve palsies]] | |||
===Extremities=== | ===Extremities=== | ||
*[[Clubbing]] of fingers | *[[Clubbing]] of fingers | ||
*[[Swelling]] of hands and feet | *[[Swelling]] of [[Hand|hands]] and [[feet]] | ||
*[[Weakness]] | *[[Weakness]] | ||
*[[Hemiplegia]] | *[[Hemiplegia]] | ||
*Shoulder pain (caused by a [[Pancoast tumor]]) | *[[Shoulder pain]] (caused by a [[Pancoast tumor]]) | ||
*Thinning arms and legs | *Thinning [[Arm|arms]] and [[Leg|legs]] | ||
==References== | ==References== | ||
Latest revision as of 17:10, 5 July 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy M.D Dildar Hussain, MBBS [2]
Overview
Common physical examination findings of lung cancer include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.
Physical Examination
Common physical examination findings of lung cancer include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.[1][2][3][4][5][6][7]
Appearance of the Patient
Vital Signs
- Vital signs are generally within normal limit, but patients with severe disease may present with:
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
- Hypotension
Skin
HEENT
Neck
- Neck examination of patients with lung cancer is usually normal.
Lungs
- Decreased/absent breath sounds
Heart
- Cardiovascular examination of patients with lung cancer is usually normal.
Abdomen
Back
- Back examination of patients with lung cancer is usually normal.
Genitourinary
- Genitourinary examination of patients with lung cancer is usually normal.
Neuromuscular
- Bone pain
- Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)
- Cranial nerve palsies
Extremities
- Clubbing of fingers
- Swelling of hands and feet
- Weakness
- Hemiplegia
- Shoulder pain (caused by a Pancoast tumor)
- Thinning arms and legs
References
- ↑ Degner, Lesley F.; Sloan, Jeffrey A. (1995). "Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer". Journal of Pain and Symptom Management. 10 (6): 423–431. doi:10.1016/0885-3924(95)00056-5. ISSN 0885-3924.
- ↑ Feinstein AR, Wells CK (1990). "A clinical-severity staging system for patients with lung cancer". Medicine (Baltimore). 69 (1): 1–33. PMID 2299974.
- ↑ Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J (1985). "Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont". Cancer. 56 (8): 2107–11. PMID 2992757.
- ↑ Hirshberg B, Biran I, Glazer M, Kramer MR (1997). "Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital". Chest. 112 (2): 440–4. PMID 9266882.
- ↑ Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP (2000). "Non-small cell lung cancer in very young and very old patients". Chest. 117 (2): 354–7. PMID 10669674.
- ↑ Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J (2011). "Superior vena cava syndrome in thoracic malignancies". Respir Care. 56 (5): 653–66. doi:10.4187/respcare.00947. PMID 21276318.
- ↑ Buccheri, G. (2004). "Lung cancer: clinical presentation and specialist referral time". European Respiratory Journal. 24 (6): 898–904. doi:10.1183/09031936.04.00113603. ISSN 0903-1936.