Carotid body tumor physical examination: Difference between revisions
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* Genitourinary examination of patients with carotid body tumor is usually normal. | * Genitourinary examination of patients with carotid body tumor is usually normal. | ||
=== | ===Neurologic=== | ||
* | * Neurologic examination of patients with carotid body tumor is usually normal. | ||
* Cranial nerve palsy may be observed in 10% of the cases. The following nerve palsies may be observed:<ref name="Işıkİmamoğlu2007">{{cite journal|last1=Işık|first1=A. Cemal Ümit|last2=İmamoğlu|first2=Mehmet|last3=Erem|first3=Cihangir|last4=Sarı|first4=Ahmet|title=Paragangliomas of the Head and Neck|journal=Medical Principles and Practice|volume=16|issue=3|year=2007|pages=209–214|issn=1011-7571|doi=10.1159/000100392}}</ref> | |||
** Hypoglossal | |||
** Glossopharyngeal | |||
** Recurrent laryngeal | |||
** Spinal accessory nerve | |||
* Sympathetic chain involvement may be associated with: | |||
** Horner syndrome | |||
** Shoulder drop | |||
===Muscular=== | |||
Muscular examination of patients with carotid body tumor is usually normal. | |||
===Extremities=== | ===Extremities=== |
Revision as of 15:47, 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’).
Auscultation
- Bruit
- Sometimes, a bruit can be present over the anterior neck area.[2]
- The presence of bruit is not essential for the diagnosis.
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.
Neurologic
- Neurologic examination of patients with carotid body tumor is usually normal.
- Cranial nerve palsy may be observed in 10% of the cases. The following nerve palsies may be observed:[3]
- Hypoglossal
- Glossopharyngeal
- Recurrent laryngeal
- Spinal accessory nerve
- Sympathetic chain involvement may be associated with:
- Horner syndrome
- Shoulder drop
Muscular
Muscular 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.
- ↑ Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G (July 2007). "Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology". J. Oral Maxillofac. Surg. 65 (7): 1388–93. doi:10.1016/j.joms.2005.12.036. PMID 17577510.
- ↑ Işık, A. Cemal Ümit; İmamoğlu, Mehmet; Erem, Cihangir; Sarı, Ahmet (2007). "Paragangliomas of the Head and Neck". Medical Principles and Practice. 16 (3): 209–214. doi:10.1159/000100392. ISSN 1011-7571.