Hamartoma physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2] Vamsikrishna Gunnam M.B.B.S [3]
Overview
Patients with hamartoma usually have a normal appearance. Physical examination shows no remarkable findings.
Physical Examination
The following physical examination findings may be present among patients with hamartoma:[1][2][3]
Appearance
- Patients usually have a normal appearance.
- Patients with hypothalamic hamartoma may look older than their chronological age.
Vital Signs
Cardiac Hamartoma[6]
Skin
Cardiac Hamartoma
- The skin is cool and clammy, consistent with hypoperfusion
- Cyanosis - present in cardiac hamartoma
- Anasarca- present in cardiac hamartoma
Neck
Cardiac Hamartoma
- Subcutaneous masses
Lungs
Pulmonary Hamartoma
- Additional sounds - coarse crackles with inspiration
Heart
Cardiac Hamartoma
- A functional holosystolic murmur of mitral regurgitation may be heard if the heart dilates excessively
- Underlying valvular heart disease causes of congestive heart failure such as aortic stenosis, aortic regurgitation, and mitral regurgitation may be auscultated.
Abdomen
Kidneys, spleen, and other vascular organs hamartoma
- A palpable abdominal mass may be present in any abdominal quadrant
Genitourinary
Hypothalamic Hamartoma
- Increased testicular size for chronological age
- Increased breast size chronological age
References
- ↑ Stojcev Z, Borun P, Hermann J, et al. Hamartomatous polyposis syndromes. Hered Cancer Clin Pract. 2013;11(1):4.
- ↑ Splenic hamartoma.Dr Henry Knipe et al Radiopedia.http://radiopaedia.org/articles/pulmonary-hamartoma-1 Accessed on December 09, 2015
- ↑ Hypothalamic hamartoma.Dr Donna D'Souza et al. Radiopedia.http://radiopaedia.org/articles/pulmonary-hamartoma-1 Accessed on December 09, 2015
- ↑ Jiménez de Domingo, A.; Haro Diaz, A.M.; Miranda Herrero, M.C.; Sanz Fernández, M.; Aguado del Hoyo, A. (2015). "Forms of clinical presentation of hypothalamic hamartoma". Anales de Pediatría (English Edition). 83 (1): 60–62. doi:10.1016/j.anpede.2015.06.004. ISSN 2341-2879.
- ↑ Diehl, B; Prayson, R; Najm, I; Ruggieri, P (2003). "Hamartomas and epilepsy: clinical and imaging characteristics". Seizure. 12 (5): 307–311. doi:10.1016/S1059-1311(02)00272-8. ISSN 1059-1311.
- ↑ Abuzaid AS, Gakhal M, Montgomery E, LaPoint R, Horn R, Banbury MK (April 2017). "Cardiac Hamartoma: A Diagnostic Challenge". CASE (Phila). 1 (2): 59–61. doi:10.1016/j.case.2017.01.014. PMC 6034476. PMID 30062244.