Small cell carcinoma of the lung physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Guillermo Rodriguez Nava, M.D. [2]

Overview

Many authors have concluded that performing a complete assessment, with a detailed history and physical examination, is useful for identifying patients with a higher likelihood of metastases.

Physical Examination=

The physical examination of the small cell lung cancer is described below:[1][2][3]

Vital Signs

General Appearance

Head

Eyes

Shown below is an image depicting ptosis in a patient with Horner's syndrome.

Throat

Lungs

  • Unilateral decreased air entry may be present
  • Unilateral wheeze may be present
  • Decreased air entry in the bases of the lungs and/or crackles (suggestive of Pleural effusion) may be present

Abdomen

Musculoskeletal system

Shown below is an image depicting digital clubbing.

Neurological

Skin

References

  1. Spiro SG, Gould MK, Colice GL, American College of Chest Physicians (2007). "Initial evaluation of the patient with lung cancer: symptoms, signs, laboratory tests, and paraneoplastic syndromes: ACCP evidenced-based clinical practice guidelines (2nd edition)". Chest. 132 (3 Suppl): 149S–160S. doi:10.1378/chest.07-1358. PMID 17873166.
  2. 2.0 2.1 2.2 2.3 van Meerbeeck JP, Fennell DA, De Ruysscher DK (2011). "Small-cell lung cancer". Lancet. 378 (9804): 1741–55. doi:10.1016/S0140-6736(11)60165-7. PMID 21565397.
  3. Sher T, Dy GK, Adjei AA (2008). "Small cell lung cancer". Mayo Clin Proc. 83 (3): 355–67. doi:10.4065/83.3.355. PMID 18316005.
  4. Mullans EA, Cohen PR (1996). "Tripe palms: a cutaneous paraneoplastic syndrome". South Med J. 89 (6): 626–7. PMID 8638207.


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