Gestational trophoblastic neoplasia physical examination
Template:Choriocarcinoma Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]
Overview
- A pelvic examination may reveal continued uterine swelling or a tumor.
- edema of the hands and feet
- rapid heartbeat
- fevertrouble
- breathing
- ovarian cysts
- Tachycardia
Physical Examination
Appearance of the Patient
- If patients typically appear normal, you may write: Patients are usually well-appearing.
- You may include a physical description such as obese, thin, cachectic, ill appearing, diaphoretic etc. Mention in which cases these findings are present (e.g. well-appearing in early stages of cancer, cachectic in late stage cancer)
- For an example of the appearance of a patient section in the physical examination page, click here.
Vital Signs
- fever
- Tachycardia 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
HEENT
- Icteric sclera
Lungs
- Lungs are hypo/hyperresonant
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- Ronchi
- Vesicular breath sounds / Distant breath sounds
- Expiratory/inspiratory wheezing with normal / delayed expiratory phase
Abdomen
- Abdominal distention
- A palpable abdominal mass in the right/left upper/lower abdominal quadrant
- Hepatomegaly / splenomegaly / hepatosplenomegaly
Genitourinary
- A pelvic/adnexal mass may be palpated
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Extremities
- Clubbing
- Pitting[edema of the upper/lower extremities