Pancoast tumor physical examination: Difference between revisions

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


==References==
==References==

Revision as of 22:05, 21 February 2018


Pancoast tumor Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pancoast tumor 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

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

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Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]

Overveiw

Physical Examination

Pancoast tumor is a subtype of lung cancer localized to the apical portion of the lung. Common physical examination findings of Pancoast tumor include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.[1][2][3][4][5][6][7]

General appearance

Vital Signs

  • Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs:

Chest

Abdomen

Skeletal

  • Bone pain
  • Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)

Skin

HEENT

  • Ptosis
  • Miosis
  • Anhydrosis
  • Jaundice
  • Supraclavicular Lymphadenopathy
  • Visual defects
  • Rounded face
  • Increased fat around the neck

CNS

  • Cranial nerve palsies

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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