Glucagonoma physical examination: Difference between revisions
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{{CMG}}{{AE}}{{PSD}} | {{CMG}}{{AE}}{{PSD}} | ||
==Overview== | ==Overview== | ||
Common physical examination findings of glucagonoma include [[tachycardia]], [[fever]], [[rash]], [[muscle atrophy]], cotton wool spots, flame hemorrhage, and dot and blot hemorrhage on | Common physical examination findings of glucagonoma include [[tachycardia]], [[fever]], [[rash]], [[muscle atrophy]], cotton wool spots, flame hemorrhage, and dot and blot hemorrhage on fundoscopic examination of the eye may be present. | ||
==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings of glucagonoma include: | Common physical examination findings of glucagonoma include: |
Revision as of 13:20, 15 October 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
Common physical examination findings of glucagonoma include tachycardia, fever, rash, muscle atrophy, cotton wool spots, flame hemorrhage, and dot and blot hemorrhage on fundoscopic examination of the eye may be present.
Physical Examination
Common physical examination findings of glucagonoma include:
General Appearance
- Patients with glucagonoma are generally well-appearing
- Patient may appear thin and cachectic in advanced cases
Vital Signs
- Tachycardia may be present
- Fever may be present
Skin
- Rash
- Erythematous, ring shaped that blisters, erodes and crusts over suggesting necrolytic migratory erythema
HEENT
Ophthalmoscopic exam may be abnormal with findings of cotton wool spots, flame hemorrhage, and dot and blot hemorrhage.
Heart
Tachycardia may be present
Extremities
- Muscle atrophy may be present
- Unilateral calf or thigh tenderness
- Unilateral calf or thigh swelling
- Unilateral calf or thigh warmth
- Unilateral calf or thigh erythema
- Palpable cord (a thickened palpable vein suggestive of thrombosed vein)
- Dilatation of unilateral collateral superficial veins
Neuromuscular
- Patient is oriented to persons, place, and time
- Hyperreflexia / hyporeflexia / areflexia may be present
- Unilateral/bilateral sensory loss in the upper/lower extremity may be present
- Muscle atrophy may be present
- Vibration and Joint position sense may be decreased