Lung mass physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination findings of lung mass will depend on the location of the tumor. Lung mass with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. Lung mass with peripheral location can present with [[pleurisy]] findings, such as reduced [[chest expansion]]. Common physical examination of patients with lung mass include [[Crackles|crackling]] or bubbling noises, decreased/absent [[breath sounds]], and [[whispered pectoriloquy]]. | Physical examination findings of lung mass will depend on the location of the [[tumor]]. Lung mass with central location may cause [[Crackles|crackling sounds]], [[Wheezing|focal wheezing]], [[Hoarseness|voice hoarseness]], and [[tachypnea]]. Lung mass with peripheral location can present with [[pleurisy]] findings, such as reduced [[chest expansion]]. Common [[physical examination]] findings of [[Patient|patients]] with lung mass include [[Crackles|crackling]] or bubbling noises, decreased/absent [[breath sounds]], and positive findings on [[whispered pectoriloquy]]. | ||
==Physical Examination== | ==Physical Examination== | ||
[[Physical examination]] findings of [[Patient|patients]] with lung mass are given below:<ref name="pmid4813837">{{cite journal |vauthors=Hyde L, Hyde CI |title=Clinical manifestations of lung cancer |journal=Chest |volume=65 |issue=3 |pages=299–306 |year=1974 |pmid=4813837 |doi= |url=}}</ref> | |||
=== | ===Appearance of the Patient=== | ||
*Well-appearing | *Well-appearing | ||
*Patient looks older than actual age | *[[Patient]] looks older than actual age | ||
*[[Lethargic]] | *[[Lethargic]] | ||
*[[Confusion|Confused]] | *[[Confusion|Confused]] | ||
| Line 17: | Line 17: | ||
===Vital Signs=== | ===Vital Signs=== | ||
* Low-grade [[fever]] | * Low-grade [[fever]] | ||
* Decreased | * Decreased [[Oxygen saturation|peripheral capillary oxygen saturation (SpO2)]] | ||
* [[Tachypnea]] | * [[Tachypnea]] | ||
* [[Tachycardia]] | *[[Tachycardia]] | ||
===Skin=== | |||
*[[Pallor]] | |||
*[[Acanthosis nigricans]] | |||
===HEENT=== | |||
*[[Lymphadenopathy]] | |||
===Neck=== | |||
* [[Lymphadenopathy]] | |||
=== | ===Lungs=== | ||
'''Inspection''' | '''Inspection''' | ||
*[[Hoarseness]] | *[[Hoarseness]] | ||
*Rapid rate of breathing | *[[Tachypnea|Rapid rate of breathing]] | ||
'''Auscultation''' | '''Auscultation''' | ||
* | |||
* | *[[Pleural friction rub]] | ||
*[[Egophony]] | |||
*[[Crackles|Crackling]] or bubbling noises | *[[Crackles|Crackling]] or bubbling noises | ||
*Positive [[whispered pectoriloquy]] | *Positive [[whispered pectoriloquy]] | ||
*Decreased/absent [[breath sounds]] | *Decreased/absent [[breath sounds]] | ||
'''Percussion''' | '''Percussion''' | ||
*Hyporesonance | |||
*Hyporesonance | |||
*Dull [[Percussion of the lungs|percussion]] | *Dull [[Percussion of the lungs|percussion]] | ||
*[[Tactile fremitus]] | *[[Tactile fremitus]] | ||
*Reduced [[chest expansion]] | *Reduced [[chest expansion]] | ||
===Heart=== | |||
* [[Tachycardia]] | |||
===Abdomen=== | ===Abdomen=== | ||
* [[Hepatomegaly]] | |||
* | |||
=== | ===Back=== | ||
*[[ | |||
*[[ | * [[Human back|Back]] [[examination]] of [[Patient|patients]] with lung mass is usually normal. | ||
===Genitourinary=== | |||
* [[Genitourinary system|Genitourinary]] [[examination]] of [[Patient|patients]] with lung mass is usually normal. | |||
=== | ===Neuromuscular=== | ||
*[[Dysarthria|Slurred speech]] | |||
*Slurred speech | *[[Confusion]] | ||
*[[Confusion]] | |||
===Extremities=== | ===Extremities=== | ||
| Line 59: | Line 78: | ||
*[[Swelling]] of hands and feet | *[[Swelling]] of hands and feet | ||
*[[Weakness]] | *[[Weakness]] | ||
*Palpable [[Soft tissue|soft-tissue]] mass | |||
==References== | ==References== | ||
Latest revision as of 18:09, 24 June 2019
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Lung Mass Microchapters |
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Diagnosis |
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Treatment |
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Lung mass physical examination On the Web |
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American Roentgen Ray Society Images of Lung mass physical examination |
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Risk calculators and risk factors for Lung mass physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Physical examination findings of lung mass will depend on the location of the tumor. Lung mass with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Lung mass with peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination findings of patients with lung mass include crackling or bubbling noises, decreased/absent breath sounds, and positive findings on whispered pectoriloquy.
Physical Examination
Physical examination findings of patients with lung mass are given below:[1]
Appearance of the Patient
Vital Signs
- Low-grade fever
- Decreased peripheral capillary oxygen saturation (SpO2)
- Tachypnea
- Tachycardia
Skin
HEENT
Neck
Lungs
Inspection
Auscultation
- Pleural friction rub
- Egophony
- Crackling or bubbling noises
- Positive whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hyporesonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Heart
Abdomen
Back
- Back examination of patients with lung mass is usually normal.
Genitourinary
- Genitourinary examination of patients with lung mass is usually normal.
Neuromuscular
Extremities
- Clubbing of fingers
- Swelling of hands and feet
- Weakness
- Palpable soft-tissue mass