<prompt> Answer this question truthfullyWhat does a physical examination for cancer in the small intestine entail?  <response>: <reason> Clinical features of small intestinal tumors have not been clearly studied, as its a rare condition. Advanced stage tumors present with signs of intestinal obstruction s. Common physical exam findings include abdominal tenderness, abdominal mass, hepatomegaly, ascites, icterus, or enlarged lymph nodes. Symptoms related to obstruction appear when tumor is at advanced stage as, contents of small intestine are mostly fluid.Appearance of the Patient:Lethargic Pallor Emaciated in late stageVital Signs:Tachycardia due to anemiaSkin:PallorHEENT:May be normal May show icterus in case of liver involvement Lymphadenopathy may be positiveNeck:May be normal on examination May show lymphadenopathy in case of distant metastasisLungs:Lungs may be normal on auscultationHeart:Heart sounds may be normal In case of distant involvement there may be findings on auscultationAbdomen:On palpation abdomen may show tenderness, mass, ascities, and hepatomegalyBack:Physical examination of back is usually normal in patients with small intestine cancerGenitourinary:Genitourinary may show melena or blood per rectumAbdomen:Abdomen may show signs of obstruction and massNeuromuscular:Depending on the stage of the disease may be normal or agitatedExtremities:Extremities may show mass loss and emaciation in late stage 