Glomus tumor physical examination: Difference between revisions

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{{Glomus tumor}}
{{Glomus tumor}}
{{CMG}}; {{AE}} {{JH}}{{STM}}


{{CMG}}; {{AE}} {{JH}}.
==Overview==


==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>
**Nail deformity
**Blue discoloration
**Palpable 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>
{| style="border: 0px; font-size: 90%; margin: 3px; width:650px"
|valign=top|
|+
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Test}}
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Procedure}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Response}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Sensitivity}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Specificity}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Accuracy}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center |
Love’s pin test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Pinhead pressure over tumor
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Severe pain
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*0%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*78%
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" align=center|
Hildreth’s test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Tourniquet applied and Love’s test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*No pain
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*71.4%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*78%
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center |
Cold sensitivity test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Cold water over hand
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Severe pain
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
|}
===Gallery===
===Gallery===


Revision as of 20:12, 12 January 2016

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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

Physical examination

  • Physical examination of patients with a glomus tumor is usually remarkable for the following findings:[1]
    • Nail deformity
    • Blue discoloration
    • Palpable nodule
  • Physical examination of patients with glomus tumors is usually remarkable for the following:[2]
Test Procedure Response Sensitivity Specificity Accuracy

Love’s pin test

  • Pinhead pressure over tumor
  • Severe pain
  • 100%
  • 0%
  • 78%

Hildreth’s test

  • Tourniquet applied and Love’s test
  • No pain
  • 71.4%
  • 100%
  • 78%

Cold sensitivity test

  • Cold water over hand
  • Severe pain
  • 100%
  • 100%
  • 100%

Gallery

Extremities

References

  1. ↑ 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.
  2. ↑ 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.
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