Multiple myeloma physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===General appearance=== | ===General appearance=== | ||
*Multiple myeloma patients often appear lethargic and fatigued. | *Multiple myeloma patients often appear [[lethargic]] and fatigued. | ||
===Vital Signs=== | ===Vital Signs=== | ||
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*Conjuctival [[pallor]] may be present | *Conjuctival [[pallor]] may be present | ||
*Visual defects may be present | *Visual defects may be present | ||
*Exudative | *[[Exudative]] [[retinal]] detachment | ||
*[[Retinal haemorrhage]] may be present | *[[Retinal haemorrhage]] may be present | ||
*Increased fat around the neck may be present | *Increased fat around the neck may be present | ||
Revision as of 13:28, 22 September 2015
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Multiple myeloma Microchapters |
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Multiple myeloma physical examination On the Web |
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Risk calculators and risk factors for Multiple myeloma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients with multiple usually appear fatigued and lethargic.[1][2] Physical examination of patients with multiple myeloma is usually remarkable for pallor, purpura, hepatosplenomegaly, carpal tunnel syndrome, and signs of cord compression.[3][4] Any of these physical findings may warrant further evaluation, and thus leads to an incidental diagnosis of multiple myeloma.
Physical Examination
General appearance
- Multiple myeloma patients often appear lethargic and fatigued.
Vital Signs
- Low-grade fever may be present
Skin
- Pallor may be present
- Ecchymoses may be present
- Purpura may be present
HEENT
- Lymphadenopathy may be present
- Conjuctival pallor may be present
- Visual defects may be present
- Exudative retinal detachment
- Retinal haemorrhage may be present
- Increased fat around the neck may be present
- Cotton-wool spots may be present
- Shoulder pad sign may be present- due to amyloid deposition around shoulders.
Abdomen
- Hepatomegaly may be present
Skeletal
- Tinel's sign may be present
- Phalen sign may be present
CNS
- Dermatomal sensory loss
- Altered sensation may be present
References
- ↑ Multiple myeloma. Wikipedia (2015) https://en.wikipedia.org/wiki/Multiple_myeloma#Signs_and_symptoms Accessed on September, 20th 2015
- ↑ Multiple myeloma. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/multiple-myeloma/signs-and-symptoms/?region=mb Accessed on September 20th 2015
- ↑ Multiple myeloma. Wikipedia (2015) https://en.wikipedia.org/wiki/Multiple_myeloma#Signs_and_symptoms Accessed on September, 20th 2015
- ↑ Multiple myeloma. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/multiple-myeloma/signs-and-symptoms/?region=mb Accessed on September 20th 2015