Carotid body tumor physical examination: Difference between revisions

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'''Auscultation'''
'''Auscultation'''
:*Bruit
:*Bruit
**Sometimes, a bruit can be present over the anterior neck area.<ref name="pmid17577510">{{cite journal |vauthors=Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G |title=Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology |journal=J. Oral Maxillofac. Surg. |volume=65 |issue=7 |pages=1388–93 |date=July 2007 |pmid=17577510 |doi=10.1016/j.joms.2005.12.036 |url=}}</ref>
:*Sometimes, a bruit can be present over the anterior neck area.<ref name="pmid17577510">{{cite journal |vauthors=Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G |title=Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology |journal=J. Oral Maxillofac. Surg. |volume=65 |issue=7 |pages=1388–93 |date=July 2007 |pmid=17577510 |doi=10.1016/j.joms.2005.12.036 |url=}}</ref>
**The presence of bruit is not essential for the diagnosis.
:*The presence of bruit is not essential for the diagnosis.


===Lungs===
===Lungs===

Revision as of 15:32, 3 April 2019

Carotid body tumor Microchapters

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Overview

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Differentiating Carotid Body Tumor from other Diseases

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Diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

Physical examination of patients with carotid body tumor is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Appearance of the Patient

  • Patients with carotid body tumor usually appear pale or diaphoretic depending on the capacity of the tumor for hormone production.

Vital Signs

  • Vital signs are usually normal.
  • In case of ca[pability of the tumore for catecholamine production:
    • Tachycardia with regular pulse may be present.
    • High blood pressure with normal pulse pressure may be present.

Skin

  • Skin examination of patients with carotid body tumor is usually normal.
  • Pallor may be present in case of concomitant production of catecholamines by the tumor.

HEENT

  • HEENT examination of patients with carotid body tumor is usually normal.

Neck

  • Neck examination of patients with carotid body tumor is remarkable for:

Palpation

  • Palpable, painless, rubbery mass along the anterior border of the sternocleidomastoid muscle.[1]
  • The tumor moves freely in the horizontal plane at a greater extent than in the vertical plane (‘Fontaine’s sign’).

Auscultation

  • Bruit
  • Sometimes, a bruit can be present over the anterior neck area.[2]
  • The presence of bruit is not essential for the diagnosis.

Lungs

  • Pulmonary examination of patients with carotid body tumor is usually normal.


Heart

  • Cardiovascular examination of patients with carotid body tumor is usually normal.

Abdomen

  • Abdominal examination of patients with carotid body tumor is usually normal.

Back

  • Back examination of patients with carotid body tumor is usually normal.

Genitourinary

  • Genitourinary examination of patients with carotid body tumor is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with carotid body tumor is usually normal.

Extremities

  • Extremities examination of patients with carotid body tumor is usually normal.

References

  1. Patetsios, Peter; Gable, Dennis R.; Garrett, Wilson V.; Lamont, Jeffrey P.; Kuhn, Joseph A.; Shutze, William P.; Kourlis, Harry; Grimsley, Bradley; Pearl, Gregory J.; Smith, Bertram L.; Talkington, C.M.; Thompson, Jesse E. (2002). "Management of Carotid Body Paragangliomas and Review of a 30-year Experience". Annals of Vascular Surgery. 16 (3): 331–338. doi:10.1007/s10016-001-0106-8. ISSN 0890-5096.
  2. Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G (July 2007). "Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology". J. Oral Maxillofac. Surg. 65 (7): 1388–93. doi:10.1016/j.joms.2005.12.036. PMID 17577510.

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