Lymphangioma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Lymphangioma}} | {{Lymphangioma}} | ||
{{CMG}} {{AE}} {{ | |||
{{CMG}}; {{AE}} {{Badria}} | |||
==Overview== | ==Overview== | ||
Lymphangioma patients often appear healthy. | Lymphangioma patients often appear healthy. Physical examination of patients with lymphangioma is usually remarkable for painless, compressible, soft [[neck]] mass that often transilluminates is a diagnostic finding on physical exam. | ||
==Physical | |||
=== | ==Physical Examination== | ||
* | Physical examination of patients with [[lymphangioma]] is usually normal except cystic swellings found in the residing organs.<ref name="pmid29201481">{{cite journal |vauthors=Patoulias D, Patoulias I, Kaselas C, Kalogirou M, Kyriakos C, Konstantinos F, Feidantsis T, Eleni P |title=Cystic Lymphangioma of the Chest Wall in a 5-Year-Old Male Patient: A Rare and Atypical Localization-A Case Report and Comprehensive Review of the Literature |journal=Case Rep Pediatr |volume=2017 |issue= |pages=2083204 |date=2017 |pmid=29201481 |pmc=5672607 |doi=10.1155/2017/2083204 |url=}}</ref> | ||
===Appearance of the Patient=== | |||
*Patients with [[lymphangioma]] usually appear normal. | |||
===Vital Signs=== | |||
*No fever | |||
*Normal Heart rate with regular pulse | |||
*Normal respiration rate | |||
*Within normal range | |||
===Skin=== | |||
* Skin examination of patients with [[lymphangioma]] is usually normal or the skin overlying cystic swelling may look bluish. | |||
<gallery widths="150px"> | |||
UploadedImage-02.jpg | Description {{dermref}} | |||
</gallery> | |||
===HEENT=== | ===HEENT=== | ||
* | * HEENT examination of patients with [[lymphangioma]] is usually normal. | ||
* No Abnormalities of the head/hair | |||
* No Evidence of trauma | |||
* No Icteric sclera | |||
* No [[Nystagmus]] | |||
* Extra-ocular movements may be abnormal depending on retro-orbital location of [[lymphangioma]] | |||
*Pupils reactive to light / reactive to accommodation | |||
* Hearing acuity is normal | |||
*[[Weber test]] is normal | |||
*[[Rinne test]] is normal | |||
* No [[Exudate]] from the ear canal | |||
* No Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal) | |||
* No Inflamed nares / congested nares | |||
* No [[Purulent]] exudate from the nares | |||
* No Facial tenderness | |||
* No Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae | |||
===Neck=== | |||
* Neck examination of patients with [[lymphangioma]] may show soft cystic swelling. | |||
* No [[Jugular venous distension]] | |||
* No [[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope | |||
* No [[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry) | |||
* No [[Thyromegaly]] / thyroid nodules | |||
* No [[Hepatojugular reflux]] | |||
===Lungs=== | |||
* Asymmetric chest expansion OR decreased chest expansion depending on location of [[lymphangioma]] | |||
* Lungs are hyporesonant. | |||
* No Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally | |||
* No Rhonchi | |||
* Vesicular breath sounds OR distant breath sounds may be heard. | |||
*[[Wheezing]] may be present | |||
*[[Egophony]] absent | |||
*[[Bronchophony]] present | |||
* Reduced [[tactile fremitus]] | |||
===Heart=== | |||
* Cardiovascular examination of patients with [[lymphangioma]] is usually normal. | |||
===Abdomen=== | |||
* Abdominal examination of patients with [[lymphangioma]] is usually normal. | |||
===Back=== | |||
* Back examination of patients with [[lymphangioma]] is usually normal. | |||
===Genitourinary=== | |||
* Genitourinary examination of patients with [[lymphangioma]] is usually normal. | |||
===Neuromuscular=== | |||
* Neuromuscular examination of patients with [[lymphangioma]] is usually normal. | |||
===Extremities=== | |||
* Extremities examination of patients with [[lymphangioma]] is usually normal. | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
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[[Category:Hematology]] | [[Category:Hematology]] | ||
{{WikiDoc Help Menu}} | <!-- Cystic Swelling in neck region. -->{{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Vascular medicine]] | |||
Latest revision as of 04:21, 10 February 2019
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Lymphangioma physical examination On the Web |
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Risk calculators and risk factors for Lymphangioma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Badria Munir M.B.B.S.[2]
Overview
Lymphangioma patients often appear healthy. Physical examination of patients with lymphangioma is usually remarkable for painless, compressible, soft neck mass that often transilluminates is a diagnostic finding on physical exam.
Physical Examination
Physical examination of patients with lymphangioma is usually normal except cystic swellings found in the residing organs.[1]
Appearance of the Patient
- Patients with lymphangioma usually appear normal.
Vital Signs
- No fever
- Normal Heart rate with regular pulse
- Normal respiration rate
- Within normal range
Skin
- Skin examination of patients with lymphangioma is usually normal or the skin overlying cystic swelling may look bluish.
-
Description (Adapted from Dermatology Atlas)
HEENT
- HEENT examination of patients with lymphangioma is usually normal.
- No Abnormalities of the head/hair
- No Evidence of trauma
- No Icteric sclera
- No Nystagmus
- Extra-ocular movements may be abnormal depending on retro-orbital location of lymphangioma
- Pupils reactive to light / reactive to accommodation
- Hearing acuity is normal
- Weber test is normal
- Rinne test is normal
- No Exudate from the ear canal
- No Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
- No Inflamed nares / congested nares
- No Purulent exudate from the nares
- No Facial tenderness
- No Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
Neck
- Neck examination of patients with lymphangioma may show soft cystic swelling.
- No Jugular venous distension
- No Carotid bruits may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
- No Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
- No Thyromegaly / thyroid nodules
- No Hepatojugular reflux
Lungs
- Asymmetric chest expansion OR decreased chest expansion depending on location of lymphangioma
- Lungs are hyporesonant.
- No Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- No Rhonchi
- Vesicular breath sounds OR distant breath sounds may be heard.
- Wheezing may be present
- Egophony absent
- Bronchophony present
- Reduced tactile fremitus
Heart
- Cardiovascular examination of patients with lymphangioma is usually normal.
Abdomen
- Abdominal examination of patients with lymphangioma is usually normal.
Back
- Back examination of patients with lymphangioma is usually normal.
Genitourinary
- Genitourinary examination of patients with lymphangioma is usually normal.
Neuromuscular
- Neuromuscular examination of patients with lymphangioma is usually normal.
Extremities
- Extremities examination of patients with lymphangioma is usually normal.
References
- ↑ Patoulias D, Patoulias I, Kaselas C, Kalogirou M, Kyriakos C, Konstantinos F, Feidantsis T, Eleni P (2017). "Cystic Lymphangioma of the Chest Wall in a 5-Year-Old Male Patient: A Rare and Atypical Localization-A Case Report and Comprehensive Review of the Literature". Case Rep Pediatr. 2017: 2083204. doi:10.1155/2017/2083204. PMC 5672607. PMID 29201481.