Mycosis fungoides physical examination: Difference between revisions

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__NOTOC__
__NOTOC__
{{Cutaneous T cell lymphoma}}
{{Mycosis fungoides}}
{{CMG}}; {{AE}} {{AS}} {{JH}}
{{CMG}}; {{AE}} {{S.G.}}
==Overview==
==Overview==
Common physical examination findings of cutaneous T cell lymphoma include [[fever]], [[rash]], [[pruritus]], [[ulcer]], chest tenderness, abdomen tenderness, bone tenderness, [[Lymphadenopathy|peripheral lymphadenopathy]], and [[Lymphadenopathy|central lymphadenopathy]].
Common [[physical examination]] findings of [[cutaneous T cell lymphoma]] include [[fever]], [[rash]], [[pruritus]], [[ulcer]], [[chest]] [[tenderness]], [[abdomen]] [[tenderness]], [[bone]] [[tenderness]], [[Lymphadenopathy|peripheral lymphadenopathy]], and [[Lymphadenopathy|central lymphadenopathy]].
==Overview==
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
 
OR
 
Common physical examination findings of mycosis fungoides include progression of patches, plaques, and tumors.<ref name="JosephBrown2018">{{cite journal|last1=Joseph|first1=Mathew X.|last2=Brown|first2=Ashley D.|last3=Davis|first3=Loretta S.|title=The importance of lymph node examination: Simultaneous diagnosis of hypopigmented mycosis fungoides and follicular B-cell lymphoma|journal=JAAD Case Reports|volume=4|issue=6|year=2018|pages=590–592|issn=23525126|doi=10.1016/j.jdcr.2018.05.017}}</ref>
 
OR
 
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
 
OR
 
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].


==Physical Examination==
==Physical Examination==
Physical examination of patients with [disease name] is usually normal.
OR
Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
===Appearance of the Patient===
*Patients with [disease name] usually appear [general appearance].
===Vital Signs===
===Vital Signs===


*fever
*[[fever]]


===Skin===
===Skin===
* Skin examination of patients with mycosis fungoides should be done generally.
* [[Skin]] [[examination]] of [[Patient|patients]] with mycosis fungoides should be done generally.
* [[Skin]] lesions and [[lymphadenopathy]] should be observed and monitor  their changes.


*:*[[Skin lesion|Skin lesions]]
**[[Skin lesion|Skin lesions]]
*:*[[Enlarged lymph nodes]]
**[[Enlarged lymph nodes]]
*:*[[Fingernails]] and [[toenails]] [[abnormalities]]
**[[Fingernails]] and [[toenails]] [[abnormalities]]
*:*lower eyelides
**lower [[Eyelid|eyelides]]
*:*[[trouble]] regulating [[body temperature]]
**[[trouble]] regulating [[body temperature]]
*:*[[Splenomegaly]]
**[[Splenomegaly]]
*:*[[Hepatomegaly]]
**[[Hepatomegaly]]
*:*[[Gastrointestinal tract|Gastrointestinal trac]]
**[[Gastrointestinal tract|Gastrointestinal trac]]


===HEENT===
===HEENT===
Line 59: Line 29:
===Lungs===
===Lungs===
* Pulmonary examination of patients with mycosis fungoides  is usually normal.
* Pulmonary examination of patients with mycosis fungoides  is usually normal.
* Pulmonary function tests and comprehensive metabolic panel (including liver and kidney function) should be monitored during treatment with methotrexate.
===Heart===
===Heart===
* Cardiovascular examination of patients with mycosis fungoides is usually normal.
* Cardiovascular examination of patients with mycosis fungoides is usually normal.
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*[[Clubbing]]  
*[[Clubbing]]  
*[[Cyanosis]]  
*[[Cyanosis]]  
*Pitting/non-pitting [[edema]] of the upper/lower extremities
*[[Pitting edema|Pitting]]/non-[[Pitting edema|pitting]] [[edema]] of the upper/lower [[extremities]]
*Muscle atrophy
*[[Muscle]] [[atrophy]]
*Fasciculations in the upper/lower extremity
*[[Fasciculation|Fasciculations]] in the upper/lower [[extremities]]


==References==
==References==

Latest revision as of 19:10, 3 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sogand Goudarzi, MD [2]

Overview

Common physical examination findings of cutaneous T cell lymphoma include fever, rash, pruritus, ulcer, chest tenderness, abdomen tenderness, bone tenderness, peripheral lymphadenopathy, and central lymphadenopathy.

Physical Examination

Vital Signs

Skin

HEENT

  • HEENT examination of patients with mycosis fungoides is usually normal.

Neck

  • Neck examination of patients with mycosis fungoides is usually normal.

Lungs

  • Pulmonary examination of patients with mycosis fungoides is usually normal.
  • Pulmonary function tests and comprehensive metabolic panel (including liver and kidney function) should be monitored during treatment with methotrexate.

Heart

  • Cardiovascular examination of patients with mycosis fungoides is usually normal.

Abdomen

  • Abdominal examination of patients with mycosis fungoides is usually normal.

Back

  • Back examination of patients with mycosis fungoides is usually normal.

Genitourinary

  • Genitourinary examination of patients with mycosis fungoides is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with mycosis fungoides is usually normal

Extremities

  • Extremities examination of patients with mycosis fungoides is usually normal.

References

Template:WH Template:WS ==Physical Examination[1]==

Vital Signs

HEENT

Chest Exam

Skin

Abdomen

Extremities

Cutaneous T cell lymphoma skin manifestations[2]
Name Description
Premycotic (pretumor) phase
  • Small, scaly, red rashes or patches on the skin
  • Rashes can appear anywhere on the body, in areas that are not exposed to the sun
  • Does not cause symptoms and may last for months or years
Patch phase
  • Flat, thin, red patches or eczema-like rash on the skin
Plaque phase
  • Raised red patches (plaques) on the skin
Tumor phase
  • Lumps or nodules (tumours) on the skin
  • Tumors can cause open areas (ulcers), which can become infected

References

  1. ↑ 1.0 1.1 Cutaneous T cell lymphoma. Surveillance, Epidemiology, and End Results . http://seer.cancer.gov/seertools/hemelymph/51f6cf56e3e27c3994bd52f7/ Accessed on January 19, 2016
  2. ↑ Cutaneous T cell lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/cutaneous-t-cell-lymphoma/?region=on Accessed on January 19, 2016


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