Which of the following clinical presentations or signs should warrant further investigation for gastrointestinal malignancy?I. Trossier's sign (a palpable Virchow's node)II. Conjunctival pallor in the context of per rectal bleedingIII. Palpable mass in the left iliac fossa associated with weight lossIV. Acute bowel obstruction
Question
Which of the following clinical presentations or signs should warrant further investigation for gastrointestinal malignancy?I. Trossier's sign (a palpable Virchow's node)II. Conjunctival pallor in the context of per rectal bleedingIII. Palpable mass in the left iliac fossa associated with weight lossIV. Acute bowel obstruction
Solution
All of the clinical presentations or signs mentioned should warrant further investigation for gastrointestinal malignancy. Here's why:
I. Trossier's sign (a palpable Virchow's node): This sign indicates the presence of a left supraclavicular lymph node that is often associated with gastrointestinal malignancies, particularly stomach cancer.
II. Conjunctival pallor in the context of per rectal bleeding: Conjunctival pallor can be a sign of anemia, which can be caused by chronic blood loss. If this is seen in the context of per rectal bleeding, it could indicate a gastrointestinal malignancy.
III. Palpable mass in the left iliac fossa associated with weight loss: A palpable mass in the left iliac fossa could indicate a malignancy in the descending colon or sigmoid colon. When associated with weight loss, this is a concerning sign that should be investigated further.
IV. Acute bowel obstruction: While there are many causes of bowel obstruction, one potential cause is a malignancy. This is particularly true if the obstruction is in the small bowel, as the most common cause of small bowel obstruction in adults is a malignancy.
Therefore, all of these signs should prompt further investigation for a potential gastrointestinal malignancy.
Similar Questions
A 27-year-old woman comes to the physician because of multiple nontender, pruritic lesions over her face, arms, chest, and abdomen. She first noticed the lesions over her lower abdomen 5 weeks ago and says that they have since become more diffuse. She also has had fatigue and has had weight loss of 6.8 kg (15 lb) during the past 3 months. The patient has not seen a physician during the past 9 years. She has no history of serious illness and takes no medications. Her father was diagnosed with colorectal cancer at the age of 65 years. The patient drinks one to two glasses of wine with dinner nightly and smokes marijuana two to three times weekly. She has had six male sexual partners during the past 3 years and does not use condoms regularly. Her vital signs are within normal limits. Dermatologic examination shows greater than 100 flesh-colored, dome-shaped papules over the face, upper extremities, thorax, lower abdomen, and genital regions. The lesions are nontender and have areas of central umbilication. A photograph is shown.The remainder of the physical examination shows no abnormalities. Testing for which of the following conditions is the most appropriate next diagnostic step for this patient?A. Diabetes mellitusB. Epstein barr virus infectionC. Gastric cancerD. Human herpes virus 8 infectionE. HIV infection
Choose 3 main signs (consequences) of syndrome of portal hypertension: a) Vascular asterisks and hepatic palms; b) Ascites; c) Pains in right hypochondrium; d) Enlargement of liver; e) Enlargement of spleen; f) Venous collaterals; g) Icterus: Ответы(один ответ) 1 A) b,d,f 2 D) b,e,f 3 E) b,c,d. 4 C) a,e,f 5 B) b,d,g
The arrows in the radiograph below are pointing to characteristic features of: Group of answer choicesColon cancerUlcerative colitisCrohn's diseaseDiverticulosis
A patient has the following symptoms. Difficulty in expelling faeces Infrequent bowel movementsThe patient is MOST likely to be suffering fromA. ulcer.B. typhoid.C. diarrhoea.D. constipation.
A passenger develops a large bowel obstruction. The doctor anticipates which of the following findings?Nausea, vomiting, abdominal distention.Explosive, irritating diarrhea.Abdominal tenderness with rectal bleeding.Mid-epigastric discomfort, tarry stool.
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.