Thymoma physical examination: Difference between revisions

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Revision as of 19:07, 23 September 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amr Marawan, M.D. [2]Ahmad Al Maradni, M.D. [3]

Overview

Patients with thymoma usually appear asymptomatic.

Physical Examination

The physical examination plays a limited role in the diagnosis of thymoma, it is very important to check general signs for associated diseases.

Apperance

Patient usually appears well and asymptomatic

=Head and Neck

Facial swelling may be present
Neck lump may be present

Chest

Dullness to percussion on the anterior chest

Lungs

Wheezing may be present

Musckulo Sekeletal

Muscle weakness may be present (suggestive of Myasthenia gravis)
Joint stiffness may be present (suggestive of an associated autoimmune disease)

Physical examination of myasthenia gravis (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.

A thorough examination demonstrates easy fatigability during following movements:

Looking upward and sidewards for 30 seconds: ptosis and diplopia.
Looking at the feet while lying on the back for 60 seconds
Keeping the arms stretched forward for 60 seconds
10 deep knee bends
Walking 30 steps on both the toes and the heels
5 sit-ups, lying down and sitting up completely

References

Template:WikiDoc Sources

@@ Line 3: / Line 3: @@
 {{CMG}}; {{AE}} {{AM}}{{AAM}}
 ==Overview==
 Patients with thymoma usually appear asymptomatic.
+==Physical Examination==
+The physical examination plays a limited role in the diagnosis of thymoma, it is very important to check general signs for associated diseases.
+===Apperance===
+*Patient usually appears well and asymptomatic
+===Head and Neck==
+*Facial [[swelling]] may be present
+*Neck [[lump]] may be present
+===Chest===
+*Dullness to [[percussion]] on the anterior chest
+===Lungs===
+*[[Wheezing]] may be present
+===Musckulo Sekeletal===
+*[[Muscle weakness]] may be present (suggestive of [[Myasthenia gravis]])
+*[[Joint stiffness]] may be present (suggestive of an associated autoimmune disease)
-==Physical Examination==
+'''Physical examination of myasthenia gravis  (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.'''
-The physical examination plays a limited role in the diagnosis of thymoma, Physical exam findings maybe  but it is very important to check general signs of health and signs of many of the paraneoplastic syndromes and that are present in a considerable percentage of patients, as lumps and anything else that seems unusual. Some patients with different thymic tumors will have fullness in the lower part of the neck which the doctor can feel.
-Once Thymoma or any other thymic tumor is suspected based on physical examination, further investigations as x-ray, CT and other lab tests should be done.
-==Physical Examination of Myasthenia Gravis==
+A thorough examination demonstrates easy fatigability during following movements:
-'''Myasthenia gravis is associated with 15% of patients with thymoma.'''
-Muscle fatigability can be tested for many muscles. A thorough examination demonstrates easy fatigability during following movements:
 * Looking upward and sidewards for 30 seconds: [[ptosis (eyelid)|ptosis]] and [[diplopia]].
 * Looking at the feet while lying on the back for 60 seconds
@@ Line 18: / Line 27: @@
 * 10 deep knee bends
 * Walking 30 steps on both the toes and the heels
-* 5 situps, lying down and sitting up completely
+* 5 sit-ups, lying down and sitting up completely
 ==References==
 {{Reflist|2}}
 [[Category:Types of cancer]]
 [[Category:Rare diseases]]
 [[Category:Disease]]
-[[Category:Needs content]]
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