Renal oncocytoma physical examination: Difference between revisions

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==Overview==
==Overview==
Physical examination of patients with renal oncocytoma is usually remarkable for a palpable abdominal [[mass]].
[[Physical examination]] of [[patients]] with renal oncocytoma is usually normal. An [[abdominal]] or [[flank]] [[mass]] may be palpayed during [[physical examination]].


==Physical Examination==
==Physical Examination==
===Abdomen===
[[Physical examination]] of [[patients]] with renal oncocytoma is usually normal. An [[abdominal]] or [[flank]] [[mass]] may be palpared during [[physical examination]]. The following physical findings are associated with renal oncocytomas: <ref>{{Cite journal
* An abdominal [[mass]] may be palpated
| author = [[B. Perez-Ordonez]], [[G. Hamed]], [[S. Campbell]], [[R. A. Erlandson]], [[P. Russo]], [[P. B. Gaudin]] & [[V. E. Reuter]]
 
| title = Renal oncocytoma: a clinicopathologic study of 70 cases
==Overview==
| journal = [[The American journal of surgical pathology]]
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].
| volume = 21
 
| issue = 8
OR
| pages = 871–883
 
| year = 1997
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
| month = August
 
| pmid = 9255250
OR
}}</ref><ref>{{Cite journal
 
| author = [[M. M. Lieber]], [[K. M. Tomera]] & [[G. M. Farrow]]
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
| title = Renal oncocytoma
 
| journal = [[The Journal of urology]]
OR
| volume = 125
 
| issue = 4
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
| pages = 481–485
 
| year = 1981
==Physical Examination==
| month = April
Physical examination of patients with [disease name] is usually normal.
| pmid = 7218443
 
}}</ref><ref name="NeisiusBraedel1988">{{cite journal|last1=Neisius|first1=D.|last2=Braedel|first2=H. U.|last3=Schindler|first3=E.|last4=Hoene|first4=E.|last5=Alloussi|first5=Sch.|title=Computed tomographic and angiographic findings in renal oncocytoma|journal=The British Journal of Radiology|volume=61|issue=731|year=1988|pages=1019–1025|issn=0007-1285|doi=10.1259/0007-1285-61-731-1019}}</ref><ref>{{Cite journal
OR
| author = [[M. R. Licht]], [[A. C. Novick]], [[R. R. Tubbs]], [[E. A. Klein]], [[H. S. Levin]] & [[S. B. Streem]]
 
| title = Renal oncocytoma: clinical and biological correlates
Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
| journal = [[The Journal of urology]]
 
| volume = 150
OR
| issue = 5 Pt 1
 
| pages = 1380–1383
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
| year = 1993
 
| month = November
OR
| pmid = 8411404
 
}}</ref><ref>{{Cite journal
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
| author = [[F. Bertoni]], [[C. Ferri]], [[P. Bacchini]], [[G. Corrado]], [[A. Benati]], [[D. Mannini]] & [[F. Corrado]]
 
| title = Oncocytoma and low-grade oncocytic carcinoma of the kidney
| journal = [[European urology]]
| volume = 16
| issue = 2
| pages = 101–109
| year = 1989
| month =
| pmid = 2714326
}}</ref><ref>{{Cite journal
| author = [[C. B. Dechet]], [[D. G. Bostwick]], [[M. L. Blute]], [[S. C. Bryant]] & [[H. Zincke]]
| title = Renal oncocytoma: multifocality, bilateralism, metachronous tumor development and coexistent renal cell carcinoma
| journal = [[The Journal of urology]]
| volume = 162
| issue = 1
| pages = 40–42
| year = 1999
| month = July
| doi = 10.1097/00005392-199907000-00010
| pmid = 10379735
}}</ref><ref name="LieberHosaka1987">{{cite journal|last1=Lieber|first1=M. M.|last2=Hosaka|first2=Y.|last3=Tsukamoto|first3=T.|title=Renal oncocytoma|journal=World Journal of Urology|volume=5|issue=2|year=1987|pages=71–79|issn=0724-4983|doi=10.1007/BF00327060}}</ref>
===Appearance of the Patient===
===Appearance of the Patient===
*Patients with [disease name] usually appear [general appearance].  
*[[Patients]] with renal oncocytoma usually appear normal.
 
===Vital Signs===
===Vital Signs===
 
*Vital Signs of [[patients]] with renal oncocytoma usually are normal.
*High-grade / low-grade fever
*[[Hypothermia]] / hyperthermia may be present
*[[Tachycardia]] with regular pulse or (ir)regularly irregular pulse
*[[Bradycardia]] with regular pulse or (ir)regularly irregular pulse
*Tachypnea / bradypnea
*Kussmal respirations may be present in _____ (advanced disease state)
*Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
*High/low blood pressure with normal pulse pressure / [[wide pulse pressure]] / [[narrow pulse pressure]]
 
===Skin===
===Skin===
* Skin examination of patients with [disease name] is usually normal.
* [[Skin]] [[examination]] of [[patients]] with renal oncocytoma is usually normal.
OR
*[[Cyanosis]]  
*[[Jaundice]]
* [[Pallor]]
* Bruises
 
<gallery widths="150px">
 
UploadedImage-01.jpg | Description {{dermref}}
UploadedImage-02.jpg | Description {{dermref}}
 
</gallery>
 
===HEENT===
===HEENT===
* HEENT examination of patients with [disease name] is usually normal.
*HEENT [[examination]] of [[patients]] with renal oncocytoma is usually normal
OR
=== Lungs ===
* Abnormalities of the head/hair may include ___
* [[Pulmonary]] [[examination]] of [[patients]] with renal oncocytoma is usually normal.
* Evidence of trauma
=== Heart ===
* Icteric sclera
* [[Cardiovascular]] [[examination]] of [[patients]] with renal oncocytoma is usually normal.
* [[Nystagmus]]  
* Extra-ocular movements may be abnormal
*Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
*Ophthalmoscopic exam may be abnormal with findings of ___
* Hearing acuity may be reduced
*[[Weber test]] may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
*[[Rinne test]] may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
* [[Exudate]] from the ear canal
* Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
*Inflamed nares / congested nares
* [[Purulent]] exudate from the nares
* Facial tenderness
* Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
 
===Neck===
* Neck examination of patients with [disease name] is usually normal.
OR
*[[Jugular venous distension]]
*[[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
*[[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
*[[Thyromegaly]] / thyroid nodules
*[[Hepatojugular reflux]]
 
===Lungs===
* Pulmonary examination of patients with [disease name] is usually normal.
OR
* Asymmetric chest expansion OR decreased chest expansion
*Lungs are hyporesonant OR hyperresonant
*Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
*Rhonchi
*Vesicular breath sounds OR distant breath sounds
*Expiratory wheezing OR inspiratory wheezing with normal OR delayed expiratory phase
*[[Wheezing]] may be present
*[[Egophony]] present/absent
*[[Bronchophony]] present/absent
*Normal/reduced [[tactile fremitus]]
 
===Heart===
* Cardiovascular examination of patients with [disease name] is usually normal.
OR
*Chest tenderness upon palpation
*PMI within 2 cm of the sternum  (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
*[[Heave]] / [[thrill]]
*[[Friction rub]]
*[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
*[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
*[[Heart sounds#Third heart sound S3|S3]]
*[[Heart sounds#Fourth heart sound S4|S4]]
*[[Heart sounds#Summation Gallop|Gallops]]
*A 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 stethoscope
 
===Abdomen===
===Abdomen===
* Abdominal examination of patients with [disease name] is usually normal.
* An [[abdominal mass]] may be palpated.
OR
*[[Abdominal distension]]
*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant
*[[Rebound tenderness]] (positive Blumberg sign)
*A palpable abdominal mass in the right/left upper/lower abdominal quadrant
*Guarding may be present
*[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
*Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
 
===Back===
===Back===
* Back examination of patients with [disease name] is usually normal.
* A [[Flanks|flank]] [[mass]] may be palpated.
OR
=== Neuromuscular ===
*Point tenderness over __ vertebrae (e.g. L3-L4)
* [[Neuromuscular]] examination of [[patients]] with renal oncocytoma is usually normal.
*Sacral edema
*Costovertebral angle tenderness bilaterally/unilaterally
*Buffalo hump
 
===Genitourinary===
===Genitourinary===
* Genitourinary examination of patients with [disease name] is usually normal.
* [[Genitourinary]] [[examination]] of [[patients]] with nasopharyngeal carcinoma is usually normal.
OR
===Extremities===
*A pelvic/adnexal mass may be palpated
*[[Extremities]] [[examination]] of [[patients]] with renal oncocytoma is usually normal
*Inflamed mucosa
*Clear/(color), foul-smelling/odorless penile/vaginal discharge


===Neuromuscular===
*
* Neuromuscular examination of patients with [disease name] is usually normal.
OR
*Patient is usually oriented to persons, place, and time
* Altered mental status
* Glasgow coma scale is ___ / 15
* Clonus may be present
* Hyperreflexia / hyporeflexia / areflexia
* Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
* Muscle rigidity
* Proximal/distal muscle weakness unilaterally/bilaterally
* ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
*Unilateral/bilateral upper/lower extremity weakness
*Unilateral/bilateral sensory loss in the upper/lower extremity
*Positive straight leg raise test
*Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
*Positive/negative Trendelenburg sign
*Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
*Normal finger-to-nose test / Dysmetria
*Absent/present dysdiadochokinesia (palm tapping test)


===Extremities===
* Extremities examination of patients with [disease name] is usually normal.
OR
*[[Clubbing]]
*[[Cyanosis]]
*Pitting/non-pitting [[edema]] of the upper/lower extremities
*Muscle atrophy
*Fasciculations in the upper/lower extremity


==References==
==References==
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[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Nephrology]]
[[Category:Nephrology]]
[[Category: Primary care]]

Latest revision as of 23:57, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2] Shanshan Cen, M.D. [3]

Overview

Physical examination of patients with renal oncocytoma is usually normal. An abdominal or flank mass may be palpayed during physical examination.

Physical Examination

Physical examination of patients with renal oncocytoma is usually normal. An abdominal or flank mass may be palpared during physical examination. The following physical findings are associated with renal oncocytomas: [1][2][3][4][5][6][7]

Appearance of the Patient

  • Patients with renal oncocytoma usually appear normal.

Vital Signs

  • Vital Signs of patients with renal oncocytoma usually are normal.

Skin

HEENT

Lungs

Heart

Abdomen

Back

Neuromuscular

Genitourinary

Extremities


References

  1. ↑ B. Perez-Ordonez, G. Hamed, S. Campbell, R. A. Erlandson, P. Russo, P. B. Gaudin & V. E. Reuter (1997). "Renal oncocytoma: a clinicopathologic study of 70 cases". The American journal of surgical pathology. 21 (8): 871–883. PMID 9255250. Unknown parameter |month= ignored (help)
  2. ↑ M. M. Lieber, K. M. Tomera & G. M. Farrow (1981). "Renal oncocytoma". The Journal of urology. 125 (4): 481–485. PMID 7218443. Unknown parameter |month= ignored (help)
  3. ↑ Neisius, D.; Braedel, H. U.; Schindler, E.; Hoene, E.; Alloussi, Sch. (1988). "Computed tomographic and angiographic findings in renal oncocytoma". The British Journal of Radiology. 61 (731): 1019–1025. doi:10.1259/0007-1285-61-731-1019. ISSN 0007-1285.
  4. ↑ M. R. Licht, A. C. Novick, R. R. Tubbs, E. A. Klein, H. S. Levin & S. B. Streem (1993). "Renal oncocytoma: clinical and biological correlates". The Journal of urology. 150 (5 Pt 1): 1380–1383. PMID 8411404. Unknown parameter |month= ignored (help)
  5. ↑ F. Bertoni, C. Ferri, P. Bacchini, G. Corrado, A. Benati, D. Mannini & F. Corrado (1989). "Oncocytoma and low-grade oncocytic carcinoma of the kidney". European urology. 16 (2): 101–109. PMID 2714326.
  6. ↑ C. B. Dechet, D. G. Bostwick, M. L. Blute, S. C. Bryant & H. Zincke (1999). "Renal oncocytoma: multifocality, bilateralism, metachronous tumor development and coexistent renal cell carcinoma". The Journal of urology. 162 (1): 40–42. doi:10.1097/00005392-199907000-00010. PMID 10379735. Unknown parameter |month= ignored (help)
  7. ↑ Lieber, M. M.; Hosaka, Y.; Tsukamoto, T. (1987). "Renal oncocytoma". World Journal of Urology. 5 (2): 71–79. doi:10.1007/BF00327060. ISSN 0724-4983.

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