Generally, the most common signs of small intestinal cancer are emaciation, lethargy, abdominal tenderness, abdominal mass, hepatomegaly, ascites, icterus, enlarged lymph nodes and pallor. Other signs include low-grade fever, discomfort on palpation, rectal bleeding, abdominal mass, and jaundice.

• Clinical features of small intestinal tumors have not been clearly studied, as its a rare condition.^[1]
• Advanced stage tumors present with signs of intestinal obstructions.
• 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 stage

Vital Signs:

• Tachycardia due to anemia

Skin:

• Pallor

HEENT:

• May be normal
• May show icterus in case of liver involvement
• Lymphadenopathy may be positive
  

Neck:

• May be normal on examination
• May show lymphadenopathy in case of distant metastasis

Lungs:

• Lungs may be normal on auscultation

Heart:

• Heart sounds may be normal
• In case of distant involvement there may be findings on auscultation

Abdomen:

• On palpation abdomen may show tenderness, mass, ascities, and hepatomegaly

Back:

• Physical examination of back is usually normal in patients with small intestine cancer

Genitourinary:

• Genitourinary may show melena or blood per rectum

Abdomen:

• Abdomen may show signs of obstruction and mass

Neuromuscular:

• Depending on the stage of the disease may be normal or agitated

Extremities:

• Extremities may show mass loss and emaciation in late stage