Peutz-Jeghers syndrome physical examination: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
(2 intermediate revisions by 2 users not shown)
Line 11: Line 11:
*[[Cachexia]] may be suggestive of [[cancer]].
*[[Cachexia]] may be suggestive of [[cancer]].


{| align="right"
|
[[File:Peutz-Jeghers Syndrome Hyperpigmentation.jpg|none|thumb|400x400px|Hyperpigmentation - [https://upload.wikimedia.org/wikipedia/commons/9/93/Peutz-Jeghers-Syndrom.JPG Source: By Abdullah Sarhan (Own work), Wikimedia Commons]]]
|}
===Vitals===
===Vitals===
   
   
Line 25: Line 29:


===Throat===
===Throat===
*Oral mucosa
*[[Oral mucosa]]
:*[[Mucocutaneous]] [[pigmentation]] causing patches of hyperpigmentation in the oral mucosa ([[gingiva]], [[hard palate]], [[buccal mucosa]], and labial mucosa)
:*[[Mucocutaneous]] [[pigmentation]] causing patches of [[hyperpigmentation]] in the [[oral mucosa]] ([[gingiva]], [[hard palate]], [[buccal mucosa]], and [[labial]] [[mucosa]])


===Neck===
===Neck===
Line 34: Line 38:
*If [[lung cancer]] develops, the patient may present with the following:
*If [[lung cancer]] develops, the patient may present with the following:
:*[[Wheezing]]  
:*[[Wheezing]]  
:*Consolidation with reduced breath sounds on [[auscultation]]
:*Consolidation with reduced [[breath sounds]] on [[auscultation]]
:*[[Rales]]
:*[[Rales]]
:*[[Egophony]]
:*[[Egophony]]
Line 44: Line 48:
*[[Rebound tenderness]]
*[[Rebound tenderness]]
*An [[acute abdomen]] may be suggestive of [[intussusception]]
*An [[acute abdomen]] may be suggestive of [[intussusception]]
*An abdominal mass may be suggestive of [[hepatic]] or [[pancreatic]] cancer
*An abdominal mass may be suggestive of [[Hepatic cancer|hepatic]] or [[pancreatic cancer]]
*Guarding
*[[Abdominal guarding|Guarding]]
*[[Hepatomegaly]] may be suggestive of [[hepatic cancer]]
*[[Hepatomegaly]] may be suggestive of [[hepatic cancer]]


===Extremities===
===Extremities===
*Patches of [[hyperpigmentation]] on the hands and feet
*Patches of [[hyperpigmentation]] on the hands and feet
*[[Clubbing]] may be suggestive of lung cancer
*[[Clubbing]] may be suggestive of [[lung cancer]]
*[[Cyanosis]] may be suggestive of lung cancer
*[[Cyanosis]] may be suggestive of [[lung cancer]]
 
[[File:Peutz-Jeghers Syndrome Hyperpigmentation.jpg|none|thumb|400x400px|Hyperpigmentation - [https://upload.wikimedia.org/wikipedia/commons/9/93/Peutz-Jeghers-Syndrom.JPG Source: By Abdullah Sarhan (Own work), Wikimedia Commons]]]


== References ==
== References ==

Latest revision as of 14:57, 21 December 2017

Peutz-Jeghers syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Peutz-Jeghers syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural history, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Peutz-Jeghers syndrome physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Peutz-Jeghers syndrome physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Peutz-Jeghers syndrome physical examination

CDC on Peutz-Jeghers syndrome physical examination

Peutz-Jeghers syndrome physical examination in the news

Blogs on Peutz-Jeghers syndrome physical examination

Directions to Hospitals Treating Peutz-Jeghers syndrome

Risk calculators and risk factors for Peutz-Jeghers syndrome physical examination

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

Overview

Common physical examination findings of Peutz-Jeghers syndrome include mucocutaneous hyperpigmentation, abdominal tenderness due to intussusception, bowel obstruction, and pallor due to anemia.

Physical Examination

The physical exam findings are as follows:[1][2]

Appearance of the Patient

Hyperpigmentation - Source: By Abdullah Sarhan (Own work), Wikimedia Commons

Vitals

Skin

Eyes

Throat

Neck

Lungs

  • If lung cancer develops, the patient may present with the following:

Abdomen

Extremities

References

  1. Kopacova, Marcela; Tacheci, Ilja; Rejchrt, Stanislav; Bures, Jan (2009). "Peutz-Jeghers syndrome: Diagnostic and therapeuticapproach". World Journal of Gastroenterology. 15 (43): 5397. doi:10.3748/wjg.15.5397. ISSN 1007-9327.
  2. Hofmann S, Barth TF, Kornmann M, Henne-Bruns D (2014). "Appendix carcinoid associated with the Peutz-Jeghers syndrome". Int J Surg Case Rep. 5 (12): 964–7. doi:10.1016/j.ijscr.2014.06.024. PMC 4276270. PMID 25460448.

Template:WH Template:WS