Lung cancer physical examination: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
(2 intermediate revisions by one other user not shown)
Line 4: Line 4:


==Overview==
==Overview==
Common physical examination findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]].
Common [[physical examination]] findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]].


==Physical Examination==
==Physical Examination==
Common physical examination findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]].<ref name="DegnerSloan1995">{{cite journal|last1=Degner|first1=Lesley F.|last2=Sloan|first2=Jeffrey A.|title=Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer|journal=Journal of Pain and Symptom Management|volume=10|issue=6|year=1995|pages=423–431|issn=08853924|doi=10.1016/0885-3924(95)00056-5}}</ref><ref name="pmid2299974">{{cite journal |vauthors=Feinstein AR, Wells CK |title=A clinical-severity staging system for patients with lung cancer |journal=Medicine (Baltimore) |volume=69 |issue=1 |pages=1–33 |year=1990 |pmid=2299974 |doi= |url=}}</ref><ref name="pmid2992757">{{cite journal |vauthors=Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J |title=Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont |journal=Cancer |volume=56 |issue=8 |pages=2107–11 |year=1985 |pmid=2992757 |doi= |url=}}</ref><ref name="pmid9266882">{{cite journal |vauthors=Hirshberg B, Biran I, Glazer M, Kramer MR |title=Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital |journal=Chest |volume=112 |issue=2 |pages=440–4 |year=1997 |pmid=9266882 |doi= |url=}}</ref><ref name="pmid10669674">{{cite journal |vauthors=Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP |title=Non-small cell lung cancer in very young and very old patients |journal=Chest |volume=117 |issue=2 |pages=354–7 |year=2000 |pmid=10669674 |doi= |url=}}</ref><ref name="pmid21276318">{{cite journal |vauthors=Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J |title=Superior vena cava syndrome in thoracic malignancies |journal=Respir Care |volume=56 |issue=5 |pages=653–66 |year=2011 |pmid=21276318 |doi=10.4187/respcare.00947 |url=}}</ref>
Common [[physical examination]] findings of lung cancer include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]].<ref name="DegnerSloan1995">{{cite journal|last1=Degner|first1=Lesley F.|last2=Sloan|first2=Jeffrey A.|title=Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer|journal=Journal of Pain and Symptom Management|volume=10|issue=6|year=1995|pages=423–431|issn=08853924|doi=10.1016/0885-3924(95)00056-5}}</ref><ref name="pmid2299974">{{cite journal |vauthors=Feinstein AR, Wells CK |title=A clinical-severity staging system for patients with lung cancer |journal=Medicine (Baltimore) |volume=69 |issue=1 |pages=1–33 |year=1990 |pmid=2299974 |doi= |url=}}</ref><ref name="pmid2992757">{{cite journal |vauthors=Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J |title=Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont |journal=Cancer |volume=56 |issue=8 |pages=2107–11 |year=1985 |pmid=2992757 |doi= |url=}}</ref><ref name="pmid9266882">{{cite journal |vauthors=Hirshberg B, Biran I, Glazer M, Kramer MR |title=Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital |journal=Chest |volume=112 |issue=2 |pages=440–4 |year=1997 |pmid=9266882 |doi= |url=}}</ref><ref name="pmid10669674">{{cite journal |vauthors=Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP |title=Non-small cell lung cancer in very young and very old patients |journal=Chest |volume=117 |issue=2 |pages=354–7 |year=2000 |pmid=10669674 |doi= |url=}}</ref><ref name="pmid21276318">{{cite journal |vauthors=Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J |title=Superior vena cava syndrome in thoracic malignancies |journal=Respir Care |volume=56 |issue=5 |pages=653–66 |year=2011 |pmid=21276318 |doi=10.4187/respcare.00947 |url=}}</ref><ref name="Buccheri2004">{{cite journal|last1=Buccheri|first1=G.|title=Lung cancer: clinical presentation and specialist referral time|journal=European Respiratory Journal|volume=24|issue=6|year=2004|pages=898–904|issn=0903-1936|doi=10.1183/09031936.04.00113603}}</ref>


===General appearance===
===Appearance of the Patient===
*[[Lethargic]]
*[[Lethargic]]
*Emaciated
*[[Emaciation|Emaciated]]
*Confused
*[[Confusion|Confused]]
*Upper body [[obesity]]
*Upper [[Human body|body]] [[obesity]]


===Vital Signs===
===Vital Signs===
* Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs:
*[[Vital signs]] are generally within normal limit, but [[Patient|patients]] with severe [[disease]] may present with:
 
:* Low-grade [[fever]]
:* Low-grade [[fever]]
:* Decreased SPO2
:* Decreased [[Oxygen saturation|SPO2]]
:* [[Tachypnea]]
:* [[Tachypnea]]
:* [[Tachycardia]]
:* [[Tachycardia]]
:* Low BP
:*[[Hypotension]]
 
===Skin===
 
*[[Pallor]]
*[[Jaundice]]
 
===HEENT===
 
*[[Jaundice]]
*[[Lymphadenopathy]]
*[[Visual system|Visual]] defects
*[[Moon facies|Rounded face]]
*[[Buffalo hump|Increased fat around the neck]]
 
===Neck===
 
* [[Neck]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal.
 
===Lungs===


===Chest===
*Decreased/absent [[breath sounds]]
*Decreased/absent [[breath sounds]]
===Heart===
* [[Cardiovascular]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal.


===Abdomen===
===Abdomen===
*Discomfort on palpation
*[[Discomfort]] on [[palpation]]
*[[Hepatomegaly]]
*[[Hepatomegaly]]
*[[Ascites]]
*[[Ascites]]


===Skeletal===
===Back===
*Bone pain
 
*Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)
* [[Human back|Back]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal.


===Skin===
===Genitourinary===
*[[Pallor]]
*[[Jaundice]]


===HEENT===
* [[Genitourinary system|Genitourinary]] [[Physical examination|examination]] of [[Patient|patients]] with lung cancer is usually normal.
*[[Jaundice]]
*[[Lymphadenopathy]]  
*Visual defects
*Rounded face
*Increased fat around the neck


===CNS===
===Neuromuscular===
*Cranial nerve palsies
*[[Bone pain]]
*[[Bone fracture|Fractures]] (usually in the [[Vertebra|vertebrae]], [[femur]], [[Pelvis|pelvic bones]], and the [[Rib|ribs]])
*[[Cranial nerve palsies]]


===Extremities===
===Extremities===
*[[Clubbing]] of fingers
*[[Clubbing]] of fingers
*[[Swelling]] of hands and feet
*[[Swelling]] of [[Hand|hands]] and [[feet]]
*[[Weakness]]
*[[Weakness]]
*[[Hemiplegia]]
*[[Hemiplegia]]
*Shoulder pain (caused by a [[Pancoast tumor]])
*[[Shoulder pain]] (caused by a [[Pancoast tumor]])
*Thinning arms and legs
*Thinning [[Arm|arms]] and [[Leg|legs]]


==References==
==References==

Latest revision as of 17:10, 5 July 2019

Lung cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Lung cancer from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

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

Lung cancer physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Lung cancer 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 Lung cancer physical examination

CDC on Lung cancer physical examination

Lung cancer physical examination in the news

Blogs on Lung cancer physical examination

Directions to Hospitals Treating Lung cancer

Risk calculators and risk factors for Lung cancer physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy M.D Dildar Hussain, MBBS [2]

Overview

Common physical examination findings of lung cancer include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.

Physical Examination

Common physical examination findings of lung cancer include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.[1][2][3][4][5][6][7]

Appearance of the Patient

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

References

  1. Degner, Lesley F.; Sloan, Jeffrey A. (1995). "Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer". Journal of Pain and Symptom Management. 10 (6): 423–431. doi:10.1016/0885-3924(95)00056-5. ISSN 0885-3924.
  2. Feinstein AR, Wells CK (1990). "A clinical-severity staging system for patients with lung cancer". Medicine (Baltimore). 69 (1): 1–33. PMID 2299974.
  3. Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J (1985). "Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont". Cancer. 56 (8): 2107–11. PMID 2992757.
  4. Hirshberg B, Biran I, Glazer M, Kramer MR (1997). "Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital". Chest. 112 (2): 440–4. PMID 9266882.
  5. Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP (2000). "Non-small cell lung cancer in very young and very old patients". Chest. 117 (2): 354–7. PMID 10669674.
  6. Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J (2011). "Superior vena cava syndrome in thoracic malignancies". Respir Care. 56 (5): 653–66. doi:10.4187/respcare.00947. PMID 21276318.
  7. Buccheri, G. (2004). "Lung cancer: clinical presentation and specialist referral time". European Respiratory Journal. 24 (6): 898–904. doi:10.1183/09031936.04.00113603. ISSN 0903-1936.


Template:WikiDoc Sources