Carotid body tumor physical examination: Difference between revisions
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===Neck=== | ===Neck=== | ||
* Neck examination of patients with carotid body tumor is remarkable for: | * Neck examination of patients with carotid body tumor is remarkable for: | ||
'''Palpation''' | |||
:*Palpable, painless, rubbery mass along the anterior border of the sternocleidomastoid muscle.<ref name="PatetsiosGable2002">{{cite journal|last1=Patetsios|first1=Peter|last2=Gable|first2=Dennis R.|last3=Garrett|first3=Wilson V.|last4=Lamont|first4=Jeffrey P.|last5=Kuhn|first5=Joseph A.|last6=Shutze|first6=William P.|last7=Kourlis|first7=Harry|last8=Grimsley|first8=Bradley|last9=Pearl|first9=Gregory J.|last10=Smith|first10=Bertram L.|last11=Talkington|first11=C.M.|last12=Thompson|first12=Jesse E.|title=Management of Carotid Body Paragangliomas and Review of a 30-year Experience|journal=Annals of Vascular Surgery|volume=16|issue=3|year=2002|pages=331–338|issn=08905096|doi=10.1007/s10016-001-0106-8}}</ref> | |||
* | :*The tumor moves freely in the horizontal plane at a greater extent than in the vertical plane (‘Fontaine’s sign’). | ||
* | '''Inspection''' | ||
:*Limitation on neck range of motion | |||
* | :*Pharyngeal bulge with the displacement of the tonsil, soft palate, and uvula to the opposite side | ||
*[[ | '''Auscultation''' | ||
:*Bruit | |||
:*[[Murmur|Carotid murmur]] | |||
===Lungs=== | ===Lungs=== |
Revision as of 15:20, 3 April 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]
Overview
Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for [finding 1], [finding 2], and [finding 3].
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 of patients with carotid body tumor 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
- Patients with carotid body tumor usually appear pale or diaphoretic depending on the capacity of the tumor for hormone production.
Vital Signs
- Vital signs are usually normal.
- In case of ca[pability of the tumore for catecholamine production:
- Tachycardia with regular pulse may be present.
- High blood pressure with normal pulse pressure may be present.
Skin
- Skin examination of patients with carotid body tumor is usually normal.
- Pallor may be present in case of concomitant production of catecholamines by the tumor.
HEENT
- HEENT examination of patients with carotid body tumor is usually normal.
Neck
- Neck examination of patients with carotid body tumor is remarkable for:
Palpation
- Palpable, painless, rubbery mass along the anterior border of the sternocleidomastoid muscle.[1]
- The tumor moves freely in the horizontal plane at a greater extent than in the vertical plane (‘Fontaine’s sign’).
Inspection
- Limitation on neck range of motion
- Pharyngeal bulge with the displacement of the tonsil, soft palate, and uvula to the opposite side
Auscultation
- Bruit
- Carotid murmur
Lungs
- Pulmonary examination of patients with carotid body tumor is usually normal.
Heart
- Cardiovascular examination of patients with carotid body tumor is usually normal.
Abdomen
- Abdominal examination of patients with carotid body tumor is usually normal.
Back
- Back examination of patients with carotid body tumor is usually normal.
Genitourinary
- Genitourinary examination of patients with carotid body tumor is usually normal.
Neuromuscular
- Neuromuscular examination of patients with carotid body tumor is usually normal.
Extremities
- Extremities examination of patients with carotid body tumor is usually normal.
References
- ↑ Patetsios, Peter; Gable, Dennis R.; Garrett, Wilson V.; Lamont, Jeffrey P.; Kuhn, Joseph A.; Shutze, William P.; Kourlis, Harry; Grimsley, Bradley; Pearl, Gregory J.; Smith, Bertram L.; Talkington, C.M.; Thompson, Jesse E. (2002). "Management of Carotid Body Paragangliomas and Review of a 30-year Experience". Annals of Vascular Surgery. 16 (3): 331–338. doi:10.1007/s10016-001-0106-8. ISSN 0890-5096.