Prostate cancer physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Prostate cancer}} | {{Prostate cancer}} | ||
{{CMG}} | {{CMG}} {{AE}} {{sali}} | ||
==Overview== | ==Overview== | ||
Common physical examination findings of prostate cancer include [[cachexia]], [[pallor]], [[anesthesia]] in the [[lower limbs]], [[paresis]] in the [[lower limbs]], lower-extremity [[lymphedema]], bony [[tenderness]], suprapubic [[palpation]] of the [[bladder]], and an asymmetrical boggy [[mass]] with the change of texture may be palpated in the anterior wall of the [[rectum]]. | Common physical examination findings of prostate cancer include [[cachexia]], [[pallor]], [[anesthesia]] in the [[lower limbs]], [[paresis]] in the [[lower limbs]], lower-extremity [[lymphedema]], bony [[tenderness]], suprapubic [[palpation]] of the [[bladder]], and an asymmetrical boggy [[mass]] with the change of texture may be palpated in the anterior wall of the [[rectum]]. | ||
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
* [[Cancer]] [[cachexia]] | * [[Cancer]] [[cachexia]]<ref name="pmid26375323">{{cite journal |vauthors=Scheel BI, Holtedahl K |title=Symptoms, signs, and tests: The general practitioner's comprehensive approach towards a cancer diagnosis |journal=Scand J Prim Health Care |volume=33 |issue=3 |pages=170–7 |date=2015 |pmid=26375323 |pmc=4750720 |doi=10.3109/02813432.2015.1067512 |url=}}</ref> | ||
===Skin=== | ===Skin=== | ||
| Line 22: | Line 22: | ||
===Heart=== | ===Heart=== | ||
*Cardiovascular examination of patients with | *Cardiovascular examination of patients with prostate cancer is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
* Suprapubic [[palpation]] of the [[bladder]] | * Suprapubic [[palpation]] of the [[bladder]] | ||
* Overdistended bladder due to outlet obstruction | * Overdistended bladder due to outlet obstruction<ref name="pmid17007705">{{cite journal |vauthors=Hamilton W, Sharp DJ, Peters TJ, Round AP |title=Clinical features of prostate cancer before diagnosis: a population-based, case-control study |journal=Br J Gen Pract |volume=56 |issue=531 |pages=756–62 |date=October 2006 |pmid=17007705 |pmc=1920715 |doi= |url=}}</ref> | ||
===Extremities=== | ===Extremities=== | ||
* [[Anesthesia]] in the [[lower limbs]] | * [[Anesthesia]] in the [[lower limbs]] | ||
* [[Paresis]] in the [[lower limbs]] | * [[Paresis]] in the [[lower limbs]] | ||
* Lower-extremity [[lymphedema]] | * Lower-extremity [[lymphedema]]<ref name="pmid26375323">{{cite journal |vauthors=Scheel BI, Holtedahl K |title=Symptoms, signs, and tests: The general practitioner's comprehensive approach towards a cancer diagnosis |journal=Scand J Prim Health Care |volume=33 |issue=3 |pages=170–7 |date=2015 |pmid=26375323 |pmc=4750720 |doi=10.3109/02813432.2015.1067512 |url=}}</ref> | ||
* Bony [[tenderness]] | * Bony [[tenderness]] | ||
===Digital rectal examination=== | ===Digital rectal examination=== | ||
* Asymmetrical boggy [[mass]] with the change of texture may be palpated in the anterior wall of the [[rectum]] | * Asymmetrical boggy [[mass]] with the change of texture may be palpated in the anterior wall of the [[rectum]]<ref name="pmid10664666">{{cite journal |vauthors=Presti JC |title=Prostate cancer: assessment of risk using digital rectal examination, tumor grade, prostate-specific antigen, and systematic biopsy |journal=Radiol. Clin. North Am. |volume=38 |issue=1 |pages=49–58 |date=January 2000 |pmid=10664666 |doi= |url=}}</ref><ref name="pmid15296564">{{cite journal |vauthors=Hamilton W, Sharp D |title=Symptomatic diagnosis of prostate cancer in primary care: a structured review |journal=Br J Gen Pract |volume=54 |issue=505 |pages=617–21 |date=August 2004 |pmid=15296564 |pmc=1324845 |doi= |url=}}</ref> | ||
==References== | ==References== | ||
Latest revision as of 19:15, 25 February 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]
Overview
Common physical examination findings of prostate cancer include cachexia, pallor, anesthesia in the lower limbs, paresis in the lower limbs, lower-extremity lymphedema, bony tenderness, suprapubic palpation of the bladder, and an asymmetrical boggy mass with the change of texture may be palpated in the anterior wall of the rectum.
Physical Examination
Appearance of the Patient
Skin
HEENT
- HEENT examination of patients with prostate cancer is usually normal.
Neck
- Neck examination of patients with prostate cancer is usually normal.
Lungs
- Pulmonary examination of patients with prostate cancer is usually normal.
Heart
- Cardiovascular examination of patients with prostate cancer is usually normal.
Abdomen
Extremities
- Anesthesia in the lower limbs
- Paresis in the lower limbs
- Lower-extremity lymphedema[1]
- Bony tenderness
Digital rectal examination
- Asymmetrical boggy mass with the change of texture may be palpated in the anterior wall of the rectum[3][4]
References
- ↑ 1.0 1.1 Scheel BI, Holtedahl K (2015). "Symptoms, signs, and tests: The general practitioner's comprehensive approach towards a cancer diagnosis". Scand J Prim Health Care. 33 (3): 170–7. doi:10.3109/02813432.2015.1067512. PMC 4750720. PMID 26375323.
- ↑ Hamilton W, Sharp DJ, Peters TJ, Round AP (October 2006). "Clinical features of prostate cancer before diagnosis: a population-based, case-control study". Br J Gen Pract. 56 (531): 756–62. PMC 1920715. PMID 17007705.
- ↑ Presti JC (January 2000). "Prostate cancer: assessment of risk using digital rectal examination, tumor grade, prostate-specific antigen, and systematic biopsy". Radiol. Clin. North Am. 38 (1): 49–58. PMID 10664666.
- ↑ Hamilton W, Sharp D (August 2004). "Symptomatic diagnosis of prostate cancer in primary care: a structured review". Br J Gen Pract. 54 (505): 617–21. PMC 1324845. PMID 15296564.