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==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><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>
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

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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.


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