Gastrointestinal stromal tumor physical examination

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melena hematochezia hematemesis, abdominal fullness, palpable mass. dysphagia (GISTs in proximal stomach) gastric outlet obstruction( tumors in pylorus) hemoperitoneum(intraperitoneal rupture of large tumor).

GISTs can occur as part of a syndrome; Carneys triad (gastric GIST, pulmonary chondroma, paraganglioma), or neurofibromatosis type 1 (mostly spindle cell GIST)[27].

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] 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 GIST is usually positive for abdominal distension and palpable abdominal mass.

Appearance of the Patient

  • Patients with GIST usually appear tired.

Vital Signs

Skin

  • Jaundice (seen in obstructive duodenal GIST)
  • Pallor (seen with abdominal bleeding)

HEENT

  • Icteric sclera (seen in obstructive duodenal GIST)

Neck

Abdomen

  • Abdominal distention
  • Succussion splash (gastric outlet obstruction with GIST in pylorus)
  • Shifting dullness (intraperitoneal rupture of large GIST with hemoperitoneum)
  • Palpable abdominal mass (location depends upon the site of GIST)
  • Severe cases may have abdominal perforation with signs of peritonitis such as:

Extremities

  • Pitting edema of the lower extremities


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