Glucagonoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Glucagonoma}} | {{Glucagonoma}} | ||
{{CMG}}{{AE}}{{PSD}} | {{CMG}}; {{AE}} {{PSD}}, {{MAD}} | ||
==Overview== | ==Overview== | ||
Common physical examination findings of glucagonoma include [[tachycardia]], [[fever]], [[rash]], [[muscle atrophy|muscle atrophy.]] [[Cotton wool spots]], [[Flame hemorrhages|flame hemorrhage]], and [[dot-blot hemorrhages]] on [[Fundoscopy|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: | ||
===General Appearance=== | ===General Appearance=== | ||
*Patients with glucagonoma are generally well-appearing | |||
*Patients with | *Patient may appear thin and [[Cachexia|cachectic]] in advanced cases | ||
*Patient may appear thin and cachectic in advanced cases | |||
===Vital Signs=== | ===Vital Signs=== | ||
Tachycardia may be present | *[[Tachycardia]] may be present | ||
Fever may be present | *[[Fever]] may be present | ||
===Skin=== | |||
*[[Erythematous]], ring shaped [[rash]] that blisters, erodes, and crusts over suggesting [[necrolytic migratory erythema]] | |||
===HEENT=== | |||
* [[Ophthalmoscopy|Ophthalmoscopic]] exam may be abnormal with findings of [[cotton wool spots]], [[Flame hemorrhages|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 receptors|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 [[Person|persons]], place, and time | |||
*[[Hyporeflexia]] 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 | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category: | {{WH}} | ||
[[Category: | {{WS}} | ||
[[Category: | [[Category:Medicine]] | ||
[[Category: | [[Category:Endocrinology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
Latest revision as of 01:49, 27 November 2017
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Glucagonoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Glucagonoma physical examination On the Web |
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American Roentgen Ray Society Images of Glucagonoma physical examination |
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Risk calculators and risk factors for Glucagonoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2], Mohammed Abdelwahed M.D[3]
Overview
Common physical examination findings of glucagonoma include tachycardia, fever, rash, muscle atrophy. Cotton wool spots, flame hemorrhage, and dot-blot hemorrhages 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
- Erythematous, ring shaped rash 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
- Hyporeflexia 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