Glomus tumor physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Glomus tumor}} | {{Glomus tumor}} | ||
{{CMG}}; {{AE}} {{JH}}{{STM}} | {{CMG}}; {{AE}} {{JH}}{{STM}} | ||
==Overview== | ==Overview== | ||
Patients with glomus tumor usually appear well. [[Physical examination]] of patients with glomus [[tumor]] is usually remarkable for small (usually less than 2cm), blue or red palpable [[nodules]] which are usually distributed in the acral regions (subungual most common) and [[nail]] deformities. | |||
==Physical examination== | ==Physical examination== | ||
*Physical examination of patients with a glomus tumor is usually remarkable for the following findings:<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413 }} </ref> | *[[Physical examination]] of patients with a glomus tumor is usually remarkable for the following findings:<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413 }} </ref> | ||
**Nail deformity | **[[Nail]] deformity | ||
**Blue discoloration | **Blue-red discoloration | ||
** | **Pink or purple vascular [[papule]] or [[nodule]] | ||
*Physical examination of patients with glomus tumors is usually remarkable for the following:<ref name="pmid26715068">{{cite journal| author=Macharia C, Nthumba PM| title=Glomus tumor presenting as complex regional pain syndrome of the left upper limb: a case report. | journal=J Med Case Rep | year= 2015 | volume= 9 | issue= 1 | pages= 293 | pmid=26715068 | doi=10.1186/s13256-015-0793-3 | pmc=PMC4693409 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26715068 }} </ref> | **[[Tenderness]] | ||
*Physical examination of patients with glomus tumors is usually remarkable for the following:<ref name="pmid26715068">{{cite journal| author=Macharia C, Nthumba PM| title=Glomus tumor presenting as complex regional pain syndrome of the left upper limb: a case report. | journal=J Med Case Rep | year= 2015 | volume= 9 | issue= 1 | pages= 293 | pmid=26715068 | doi=10.1186/s13256-015-0793-3 | pmc=PMC4693409 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26715068 }} </ref><ref name="pmid12027491">{{cite journal| author=Giele H| title=Hildreth's test is a reliable clinical sign for the diagnosis of glomus tumours. | journal=J Hand Surg Br | year= 2002 | volume= 27 | issue= 2 | pages= 157-8 | pmid=12027491 | doi=10.1054/jhsb.2001.0724 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12027491 }} </ref> | |||
{| style="border: 0px; font-size: 90%; margin: 3px; width:650px" | {| style="border: 0px; font-size: 90%; margin: 3px; width:650px" | ||
|valign=top| | | valign="top" | | ||
|+ | |+ | ||
! style="background: #4479BA; width: | ! style="background: #4479BA; width: 600px;" | {{fontcolor|#FFF|Test}} | ||
! style="background: #4479BA; width: | ! style="background: #4479BA; width: 600px;" | {{fontcolor|#FFF|Procedure}} | ||
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Response}} | ! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Response}} | ||
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Sensitivity}} | ! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Sensitivity}} | ||
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|- | |- | ||
| style="padding: | | style="padding: 10px 5px; background: #DCDCDC; font-weight: bold" align="center" | | ||
Love’s pin test | Love’s pin test | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Pinhead pressure over tumor | *Pinhead pressure over tumor | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Severe pain | *Severe pain | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*100% | *100% | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*0% | *0% | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*78% | *78% | ||
|- | |- | ||
| style="padding: | | style="padding: 10px 5px; background: #DCDCDC;font-weight: bold" align="center" | | ||
Hildreth’s test | Hildreth’s test | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Tourniquet applied and Love’s test | *[[Tourniquet]] applied and Love’s test | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*No pain | *No pain | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*71.4% | *71.4% | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*100% | *100% | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*78% | *78% | ||
|- | |- | ||
| style="padding: | | style="padding: 15px 30px; background: #DCDCDC; font-weight: bold" align="center" | | ||
Cold sensitivity test | Cold sensitivity test | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Cold water over hand | *Cold water over hand | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Severe pain | *Severe pain | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*100% | *100% | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*100% | *100% | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*100% | *100% | ||
|} | |} | ||
== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Orthopedics]] | |||
Latest revision as of 18:05, 29 July 2019
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Glomus tumor Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Glomus tumor physical examination On the Web |
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American Roentgen Ray Society Images of Glomus tumor physical examination |
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Risk calculators and risk factors for Glomus tumor physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]Soujanya Thummathati, MBBS [3]
Overview
Patients with glomus tumor usually appear well. Physical examination of patients with glomus tumor is usually remarkable for small (usually less than 2cm), blue or red palpable nodules which are usually distributed in the acral regions (subungual most common) and nail deformities.
Physical examination
- Physical examination of patients with a glomus tumor is usually remarkable for the following findings:[1]
- Nail deformity
- Blue-red discoloration
- Pink or purple vascular papule or nodule
- Tenderness
- Physical examination of patients with glomus tumors is usually remarkable for the following:[2][3]
| Test | Procedure | Response | Sensitivity | Specificity | Accuracy |
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Love’s pin test |
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Hildreth’s test |
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Cold sensitivity test |
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References
- ↑ Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L; et al. (1996). "Glomus tumours of the hand. A retrospective study of 51 cases". J Hand Surg Br. 21 (2): 257–60. PMID 8732413.
- ↑ Macharia C, Nthumba PM (2015). "Glomus tumor presenting as complex regional pain syndrome of the left upper limb: a case report". J Med Case Rep. 9 (1): 293. doi:10.1186/s13256-015-0793-3. PMC 4693409. PMID 26715068.
- ↑ Giele H (2002). "Hildreth's test is a reliable clinical sign for the diagnosis of glomus tumours". J Hand Surg Br. 27 (2): 157–8. doi:10.1054/jhsb.2001.0724. PMID 12027491.