Laryngeal cancer physical examination: Difference between revisions

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Revision as of 14:10, 27 October 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2].

Overview

Physical Examination

Appearance of the Patient

Patients with laryngeal carcinoma are usually well appearing

Ears

There may be diminished hearing

Throat

The throat may be erythematous

Neck

Neck swelling may be present
Swollen lymph nodes may be present
Laryngeal crepitus may be present

Lungs

Stridor may be present due to partial airway obstruction

Extremities

Painful paronychia in association with a scaly, erythematous, keratotic rash (papules and plaques) of the ears, nose, fingers, and toes, may be indicative of acrokeratosis paraneoplastica, which is associated with squamous cell carcinoma of the larynx

Gallery

url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=289>

url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=289>

url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=289>

References

Template:WikiDoc Sources

@@ Line 5: / Line 5: @@
 ==Overview==
 ==Physical Examination==
-Diagnosis is made by the doctor on the basis of a careful [[medical history]], [[physical examination]], and special investigations which may include [[Chest X-Ray]], [[Computed tomography|CT]] or [[MRI]] scans, and tissue biopsy. The examination of the larynx requires some expertise, which may require specialist referral.
+===Appearance of the Patient===
+*Patients with laryngeal carcinoma are usually well appearing
+===Ears===
+*There may be diminished hearing
+===Throat===
+*The throat may be erythematous
+===Neck===
+*Neck swelling may be present
+*Swollen lymph nodes may be present
+*Laryngeal crepitus may be present
+===Lungs===
+*[[Stridor]] may be present due to partial airway obstruction
+==Extremities==
+Painful [[paronychia]] in association with a scaly, erythematous, keratotic rash (papules and plaques) of the ears, nose, fingers, and toes, may be indicative of [[acrokeratosis paraneoplastica]], which is associated with [[squamous cell carcinoma]] of the [[larynx]]
-The [[physical exam]] includes a systematic examination of the whole patient to assess general health, to look for signs of associated conditions and metastatic disease. The neck and [[supraclavicular fossa]] are palpated to feel for cervical adenopathy, other masses, and laryngeal crepitus. The oral cavity and oropharynx are examined under direct vision. The larynx may be examined by Indirect laryngoscopy using a small angled mirror with a long handle (akin to a dentist's mirror) and a strong light. Indirect laryngoscopy can be highly effective, but requires skill and practice for consistent results. For this reason, many specialist clinics now use fibre-optic nasal endoscopy where a thin and flexible [[endoscope]], inserted through the nostril, is used to clearly visualise the entire pharynx and larynx. Nasal endoscopy is a quick and easy procedure, performed in clinic. Local anaesthetic spray may be used.
-Painful [[paronychia]] in association with a scaly, erythematous, keratotic rash (papules and plaques) of the ears, nose, fingers, and toes, may be indicative of [[acrokeratosis paraneoplastica]], which is associated with [[squamous cell carcinoma]] of the [[larynx]].
 ===Gallery===
-====Neck====
 <gallery>
@@ Line 29: / Line 37: @@
 {{WikiDoc Sources}}
-[[Category: Needs content]]
 [[Category:Disease]]
 [[Category:Types of cancer]]