Mycosis fungoides physical examination: Difference between revisions
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{{ | {{Mycosis fungoides}} | ||
{{CMG}}; {{AE}} {{S.G.}} | {{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]]. | ||
==Physical Examination== | |||
===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]] | ||
| Line 29: | 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. | ||
| Line 44: | Line 45: | ||
*[[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 | *[[Fasciculation|Fasciculations]] in the upper/lower [[extremities]] | ||
==References== | ==References== | ||
Latest revision as of 19:10, 3 January 2019
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Mycosis fungoides Microchapters |
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Case Studies |
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Mycosis fungoides physical examination On the Web |
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American Roentgen Ray Society Images of Mycosis fungoides physical examination |
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Risk calculators and risk factors for Mycosis fungoides physical examination |
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
- Skin examination of patients with mycosis fungoides should be done generally.
- Skin lesions and lymphadenopathy should be observed and monitor their changes.
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.
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremities
References
Template:WH Template:WS ==Physical Examination[1]==
Vital Signs
HEENT
Chest Exam
- Thoracic masses suggestive of central lymphadenopathy
- Chest tenderness
Skin
- Generalized erythroderma
- Ulcer
- Rash
- Pruritus
Abdomen
- Abdominal masses suggestive of central lymphadenopathy
- Abdomen tenderness
Extremities
- Peripheral lymphadenopathy
- Bone tenderness
| Name | Description |
|---|---|
| Premycotic (pretumor) phase |
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| Patch phase |
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| Plaque phase |
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| Tumor phase |
|
References
- ↑ 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
- ↑ 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