Insulinoma physical examination

Insulinoma Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Insulinoma from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Staging
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
X-ray
Ultrasound
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Insulinoma physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Insulinoma physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Insulinoma physical examination
CDC on Insulinoma physical examination
Insulinoma physical examination in the news
Blogs on Insulinoma physical examination
Directions to Hospitals Treating Insulinoma
Risk calculators and risk factors for Insulinoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]

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 insulinoma is usually unremarkable.

Appearance of the Patient

• Patients with insulinoma usually appear [general appearance].

Vital Signs

• High-grade / low-grade fever- None
• Tachycardia with regular pulse- can be tachycardic/bradycardic
• Bradycardia with regular pulse
• Tachypnea / bradypnea

Skin

• can have sweating

HEENT

• No abnormalities of the head/hair
• No evidence of trauma
• Normal sclera
• NoNystagmus
• Extra-ocular movements are normal
• Pupils -reactive to light and to accommodation
• Ophthalmoscopic exam may be normal with finding.
• Hearing acuity is fine
• Weber test is normal.
• No tenderness upon palpation of the ear pinnae / tragus
• No facial tenderness
• No erythematous throat with/without tonsillar swelling, exudates, and/or petechiae

Neck

• Unremarkable

Lungs

• Symmetric chest expansion
• Lungs are hypo/hyperresonant
• Nocrackles upon auscultation of the lung bases/apices unilaterally/bilaterally
• No Rhonchi
• Normal Vesicular breath sounds
• No Expiratory/inspiratory wheezing with normal / delayed expiratory phase
• Normaltactile fremitus

Heart

• PMI within 2 cm of the sternum (PMI)
• Heave / thrillcan bedue to palpitations
• Friction rub
• NormalS1
• NormalS2
• NoS3
• NoS4
• NoGallops
• No high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope

Abdomen

• NoAbdominal distention
• NoRebound tenderness (positive Blumberg sign)
• No palpable abdominal mass in the right/left upper/lower abdominal quadrant
• No guarding
• No signs ofHepatomegaly / splenomegaly / hepatosplenomegaly

Back

• No tendernes
• No sacral edema
• No costovertebral angle tenderness bilaterally/unilaterally
• No hump

Genitourinary

• No pelvic/adnexal mass.
• Normal mucosa
• No discharge

Neuromuscular

• Patient is usually oriented to persons, place, and time
• Altered mental status- can have altered mental status
• Glasgow coma scale is ___ / 15. Can be comatosed
• Unilateral/bilateral fine tremors can be present
• Normal finger-to-nose test

Extremities

• NoClubbing
• NoCyanosis
• No pitting/non-pitting edema of the upper/lower extremities
• No muscle atrophy
• No fasciculations in the upper/lower extremity