Pheochromocytoma physical examination: Difference between revisions

Jump to navigation Jump to search
Line 70: Line 70:


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


==References==
==References==

Revision as of 21:13, 28 July 2020

Pheochromocytoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pheochromocytoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pheochromocytoma physical examination On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pheochromocytoma physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pheochromocytoma physical examination

CDC on Pheochromocytoma physical examination

Pheochromocytoma physical examination in the news

Blogs on Pheochromocytoma physical examination

Directions to Hospitals Treating Pheochromocytoma

Risk calculators and risk factors for Pheochromocytoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2] Mohammed Abdelwahed M.D[3]

Overview

Patients with pheochromocytoma usually appear diaphoretic and anxious. Physical examination of patients with pheochromocytoma is usually remarkable for tachycardia, hypertension, and orthostatic hypotension.

Physical Examination

Physical examination of patients with pheochromocytoma is usually remarkable for tachycardia, hypertension, and orthostatic hypotension.

Appearance of the Patient

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

  • Patient is usually oriented to persons, place, and time; disorientation may be seen if pheochromocytoma precipitates hypertensive encephalopathy.
  • Altered mental status may be present if pheochromocytoma precipitates hypertensive encephalopathy. [10]
  • Hyperreflexia [11]
  • In case of acute stroke due to paroxysmal hypertension, the following may be seen:
    • Corresponding cranial nerve deficit
    • Unilateral/bilateral upper/lower extremity weakness
    • Unilateral/bilateral sensory loss in the upper/lower extremity
  • Bilateral tremor at rest

Extremities

  • Bilateral generalized tremors

References

  1. Bravo EL, Gifford RW (1993). "Pheochromocytoma". Endocrinol Metab Clin North Am. 22 (2): 329–41. PMID 8325290.
  2. Drénou B, Le Tulzo Y, Caulet-Maugendre S, Le Guerrier A, Leclercq C, Guilhem I; et al. (1995). "Pheochromocytoma and secondary erythrocytosis: role of tumour erythropoietin secretion". Nouv Rev Fr Hematol. 37 (3): 197–9. PMID 7567437.
  3. La Batide-Alanore A, Chatellier G, Plouin PF (2003). "Diabetes as a marker of pheochromocytoma in hypertensive patients". J Hypertens. 21 (9): 1703–7. doi:10.1097/01.hjh.0000084729.53355.ce. PMID 12923403.
  4. Tenner AG, Halvorson KM (2013). "Endocrine causes of dangerous fever". Emerg Med Clin North Am. 31 (4): 969–86. doi:10.1016/j.emc.2013.07.010. PMID 24176474.
  5. Kassim TA, Clarke DD, Mai VQ, Clyde PW, Mohamed Shakir KM (2008). "Catecholamine-induced cardiomyopathy". Endocr Pract. 14 (9): 1137–49. doi:10.4158/EP.14.9.1137. PMID 19158054.
  6. HEINRICH WA, JUDD ES (1948). "A critical analysis of biopsy of lymph nodes". Proc Staff Meet Mayo Clin. 23 (21): 465–9. PMID 18888946.
  7. Wells SA, Asa SL, Dralle H, Elisei R, Evans DB, Gagel RF; et al. (2015). "Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma". Thyroid. 25 (6): 567–610. doi:10.1089/thy.2014.0335. PMC 4490627. PMID 25810047.
  8. O'Riordain DS, O'Brien T, Crotty TB, Gharib H, Grant CS, van Heerden JA (1995). "Multiple endocrine neoplasia type 2B: more than an endocrine disorder". Surgery. 118 (6): 936–42. PMID 7491537.
  9. Wells SA, Asa SL, Dralle H, Elisei R, Evans DB, Gagel RF; et al. (2015). "Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma". Thyroid. 25 (6): 567–610. doi:10.1089/thy.2014.0335. PMC 4490627. PMID 25810047.
  10. "Correction to Lancet Infectious Diseases 2020; published online April 29. https://doi.org/10.1016/ S1473-3099(20)30064-5". Lancet Infect Dis. 20 (7): e148. 2020. doi:10.1016/S1473-3099(20)30370-4. PMID 32595044 Check |pmid= value (help). External link in |title= (help)
  11. Manger WM, Davis SW, Chu DS (1979). "Autonomic hyperreflexia and its differentiation from pheochromocytoma". Arch Phys Med Rehabil. 60 (4): 159–61. PMID 475568.