Sacrococcygeal teratoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Sacrococcygeal teratoma}} | {{Sacrococcygeal teratoma}} | ||
{{CMG}}{{AE}}{{MGS}} | {{CMG}}{{AE}}{{Sab}}{{MGS}} | ||
==Overview== | ==Overview== | ||
Patient with sacrococcygeal teratoma | [[Patient|Patients]] with sacrococcygeal teratoma are generally well-appearing. [[Physical examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually remarkable for a protruding pre-[[sacral]] mass. | ||
==Physical Examination== | ==Physical Examination== | ||
=== | ===Appearance of the Patient=== | ||
*Patients with sacrococcygeal teratoma are generally well-appearing | *[[Patient|Patients]] with sacrococcygeal teratoma are generally well-appearing.<ref name="PE">{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref> | ||
*Presentation may vary by the age of the patient | *Presentation may vary by the age of the [[patient]] | ||
:*In utero | :*In [[Uterus|utero]]: Mass extending off the [[Anatomical terms of location|caudal]] end | ||
:*In Infancy | :*In [[Infant|Infancy]]: [[asymptomatic]] or [[Medical sign|signs]] of obstruction of [[rectum]] or [[Urinary bladder|bladder]] | ||
:*At birth | :*At [[birth]]: Usually a visible mass under the [[skin]] at the [[Sacrum|sacro]]-[[Coccyx|coccygeal]] region | ||
=== | ===Vital Signs=== | ||
*Small sacrococcygeal | * [[Vital signs]] of [[Patient|patients]] with sacrococcygeal teratoma are usually within normal limits. | ||
*Large sacrococcygeal teratoma can present with paresis or paralysis if | |||
===Skin=== | |||
* Protruding pre-[[sacral]] mass | |||
===HEENT=== | |||
* HEENT [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal. | |||
===Neck=== | |||
* [[Neck]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal. | |||
===Lungs=== | |||
* [[Respiratory examination|Pulmonary examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal. | |||
===Heart=== | |||
* [[Circulatory system|Cardiovascular]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal. | |||
===Abdomen=== | |||
* [[Abdominal distension]] (in rare cases) | |||
===Back=== | |||
* Protruding pre-[[sacral]] mass | |||
===Genitourinary=== | |||
* [[Genitourinary system|Genitourinary]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal. | |||
===Neuromuscular=== | |||
*Small sacrococcygeal teratoma does not present with any [[Neurology|neurological]] deficits. <ref name="PE">{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref> | |||
*Large sacrococcygeal teratoma can present with [[paresis]] or [[paralysis]] if it compresses a [[nerve]]. | |||
===Extremities=== | |||
* [[Limb (anatomy)|Extremities]] [[Physical examination|examination]] of [[Patient|patients]] with sacrococcygeal teratoma is usually normal. | |||
===Rectal Examination=== | ===Rectal Examination=== | ||
*Rectal mass causing pressure on rectum. | *[[Rectal]] mass causing pressure on [[rectum]]. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Rare diseases]] | [[Category:Rare diseases]] | ||
[[Category:Pediatric cancers]] | [[Category:Pediatric cancers]] | ||
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Latest revision as of 20:06, 6 May 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2] Mirdula Sharma, MBBS [3]
Overview
Patients with sacrococcygeal teratoma are generally well-appearing. Physical examination of patients with sacrococcygeal teratoma is usually remarkable for a protruding pre-sacral mass.
Physical Examination
Appearance of the Patient
- Patients with sacrococcygeal teratoma are generally well-appearing.[1]
- Presentation may vary by the age of the patient
Vital Signs
- Vital signs of patients with sacrococcygeal teratoma are usually within normal limits.
Skin
- Protruding pre-sacral mass
HEENT
- HEENT examination of patients with sacrococcygeal teratoma is usually normal.
Neck
- Neck examination of patients with sacrococcygeal teratoma is usually normal.
Lungs
- Pulmonary examination of patients with sacrococcygeal teratoma is usually normal.
Heart
- Cardiovascular examination of patients with sacrococcygeal teratoma is usually normal.
Abdomen
- Abdominal distension (in rare cases)
Back
- Protruding pre-sacral mass
Genitourinary
- Genitourinary examination of patients with sacrococcygeal teratoma is usually normal.
Neuromuscular
- Small sacrococcygeal teratoma does not present with any neurological deficits. [1]
- Large sacrococcygeal teratoma can present with paresis or paralysis if it compresses a nerve.
Extremities
- Extremities examination of patients with sacrococcygeal teratoma is usually normal.