Uveal melanoma physical examination: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
No edit summary
 
(15 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__NOTOC__  
__NOTOC__
{{Uveal melanoma}}
{{Uveal melanoma}}
{{CMG}}{{AE}}{{Simrat}}
 
{{CMG}}; {{AE}} {{Fs}}
 
==Overview==
==Overview==
Common physical examination findings of uveal melanoma include presence of dark spot on the iris, anisicoria, loss of peripheral vision, decreased visual acuity and photopsia.
Patients with uveal melanoma usually appear normal. Physical examination of [[Patient|patients]] with uveal melanoma is usually remarkable for [[Ophthalmology|ophthalmologic]] findings of melanoma.
 
==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
*[[Patients]] with uveal melanoma usually appear normal.
===Vital Signs===
*[[Patients]] with uveal melanoma usually present with normal [[vital signs]].
===Skin===
*[[Skin]] examination of [[patients]] with uveal melanoma is usually normal.<ref name="AlbertSearl1983">{{cite journal|last1=Albert|first1=Daniel M.|last2=Searl|first2=Steven S.|last3=Forget|first3=Bernadette|last4=Lavin|first4=Philip T.|last5=Kirkwood|first5=John|last6=Nordlund|first6=James J.|title=Uveal Findings in Patients with Cutaneous Melanoma|journal=American Journal of Ophthalmology|volume=95|issue=4|year=1983|pages=474–479|issn=00029394|doi=10.1016/0002-9394(83)90267-2}}</ref>
*[[Skin]] [[nevus]] or melanoma
===HEENT===
===HEENT===
*Dark spot is present on the iris
 
*Anisicoria
* Evidence of [[trauma]]
*Loss of peripheral vision
*[[Pupils]] reactive to light and reactive to accommodation
*Decreased visual acuity
*Ophthalmoscopic exam may be abnormal with findings of :
*Photopsia
**[[Iris]] [[melanoma]]:
*Visual field tests
***Circumscribed nodule mostly in the inferior half of the [[iris]]
The ophthalmologist uses the following instruments to look inside the eye for a tumor:
***Different in size
*An ophthalmoscope (also known as a direct ophthalmoscope).
***Yellow or brown in color
*An indirect ophthalmoscope and a slit lamp is more like a large microscope.
**Chroidal [[melanoma]]:
*A gonioscopy lens.
***Nodular [[mass]] under the [[Retinal pigment epithelium|retinal pigment]]
Diagnosis of uveal melanoma is based on a combination of clinical examination with indirect ophthalmoscopy, slit lamp biomicroscopy, and ultrasonography
***Diffuse with less elevation
*Iris melanomas are detectable by slit lamp biomicroscopy, on the other hand ciliary body tumours are hidden behind the iris and can be visualized by ultrasonography. Depending on their location, choroidal tumours, are diagnosed by dilated indirect ophthalmoscopy and ultrasonography.
***Abnormal vascularization
*Indirect ophthalmoscopy through a dilated pupil provides a correct diagnosis in more than 95% of the cases. Accuracy of the correct diagnosis is established to be over 99% by experienced clinicians with ophthalmoscopy, ultrasound, and fluorescein angiography and confirmed by histopathology.<ref name="vanKoopmans2013">{{cite journal|last1=van|first1=J.G.M.|last2=Koopmans|first2=A.E.|last3=Verdijk|first3=R.M.|last4=Naus|first4=N.C.|last5=de|first5=A.|last6=Kilic|first6=E.|title=Diagnosis, Histopathologic and Genetic Classification of Uveal Melanoma|year=2013|doi=10.5772/53631}}</ref>
**[[Ciliary body]] melanoma:
*The clinical diagnosis of uveal melanoma can be made on dilated fundus exam when the classical appearance of a pigmented dome shaped mass extends from the ciliary body or choroid indicating that the tumor has extended through Bruch’s membrane. Approximately 20% of lesions will take on a large, mushroom shape.  
***Sentinel vessel
The appearance of melanoma depends on its location and size, whether it is in the iris or the choroid.  
***Unilateral low [[intraocular pressure]]
*Iris melanoma appears as a brown or yellow nodule on the iris. It is usually visible to the patient.  
 
*Choroidal melanoma appears as a  yellow or brown or tumor in the back of the eye and is not visible to the patient.  
===Neck===
== References ==  
*[[Neck]] examination of [[patients]] with uveal melanoma is usually normal.
 
===Lungs===
*[[Pulmonary]] examination of patients with uveal melanoma is usually normal.
 
===Heart===
*[[Cardiovascular]] examination of patients with uveal melanoma is usually normal.
 
===Abdomen===
*[[Abdominal]] examination of patients with uveal melanoma is usually normal.
 
===Back===
* Back examination of patients with uveal melanoma is usually normal.
 
===Genitourinary===
*[[Genitourinary]] examination of patients with uveal melanoma is usually normal.
 
===Neuromuscular===
*[[Neuromuscular]] examination of patients with uveal melanoma is usually normal.
 
===Extremities===
*[[Extremities]] examination of patients with uveal melanoma is usually normal.
 
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}
[[Category: (name of the system)]]

Latest revision as of 03:35, 19 August 2019

Uveal melanoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Uveal melanoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Uveal melanoma physical examination On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Uveal melanoma physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Uveal melanoma physical examination

CDC on Uveal melanoma physical examination

Uveal melanoma physical examination in the news

Blogs on Uveal melanoma physical examination

to Hospitals Treating Uveal melanoma

Risk calculators and risk factors for Uveal melanoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Patients with uveal melanoma usually appear normal. Physical examination of patients with uveal melanoma is usually remarkable for ophthalmologic findings of melanoma.

Physical Examination

Appearance of the Patient

  • Patients with uveal melanoma usually appear normal.

Vital Signs

Skin

HEENT

  • Evidence of trauma
  • Pupils reactive to light and reactive to accommodation
  • Ophthalmoscopic exam may be abnormal with findings of :

Neck

  • Neck examination of patients with uveal melanoma is usually normal.

Lungs

  • Pulmonary examination of patients with uveal melanoma is usually normal.

Heart

  • Cardiovascular examination of patients with uveal melanoma is usually normal.

Abdomen

  • Abdominal examination of patients with uveal melanoma is usually normal.

Back

  • Back examination of patients with uveal melanoma is usually normal.

Genitourinary

  • Genitourinary examination of patients with uveal melanoma is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with uveal melanoma is usually normal.

Extremities

  • Extremities examination of patients with uveal melanoma is usually normal.

References

  1. ↑ Albert, Daniel M.; Searl, Steven S.; Forget, Bernadette; Lavin, Philip T.; Kirkwood, John; Nordlund, James J. (1983). "Uveal Findings in Patients with Cutaneous Melanoma". American Journal of Ophthalmology. 95 (4): 474–479. doi:10.1016/0002-9394(83)90267-2. ISSN 0002-9394.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Uveal_melanoma_physical_examination&oldid=1579974"