Schwannoma physical examination: Difference between revisions

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Revision as of 15:02, 23 December 2015

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

Overview

Common physical examination findings of schwannoma include focal neurological deficits, impaired hearing, and paralysis.^[1]

Physical Examination

HEENT

Papilledema on fundoscopic examination
Hypoesthesia
Aphasia
Impaired hearing
Facial paralysis
Nystagmus

Neuromuscular

Hyporeflexia
Extremities paresis
Ataxia
Extremities hypoesthesia

References

↑ National Library of Medicine.http://www.nlm.nih.gov/medlineplus/cancer.html

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[nlmnihgov-1] National Library of Medicine.http://www.nlm.nih.gov/medlineplus/cancer.html

[1]

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 ==Physical Examination==
-*Focal neurological deficits,
-[[hypoesthesia]],
-[[aphasia]],
-[[ataxia]],
-impaired hearing,
-facial paralysis,
-double vision,
-dizziness,
-[[paralysis]] on one side of the body hemiplegia or impairment in swallowing
-* Changes that affect touch and the ability to feel pain, pressure, different temperatures, or other stimuli<ref name="nlmnihgov">National Library of Medicine.http://www.nlm.nih.gov/medlineplus/cancer.html</ref>
 ===HEENT===
 * [[Papilledema]] on fundoscopic examination
+* [[Hypoesthesia]]
+* [[Aphasia]]
+* Impaired hearing
+* Facial paralysis
+* [[Nystagmus]]
 ===Neuromuscular===
-* Patient is usually oriented to persons, place, and time
+* [[Hyporeflexia]]
-* Altered mental status
+* Extremities [[paresis]]
-* Glasgow coma scale is ___ / 15
+* [[Ataxia]]
-* Clonus may be present
+* Extremities [[hypoesthesia]]
-* Hyperreflexia / hyporeflexia / areflexia
-* Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
-* Muscle rigidity
-* Proximal/distal muscle weakness unilaterally/bilaterally
-* ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
-*Unilateral/bilateral upper/lower extremity weakness
-*Unilateral/bilateral sensory loss in the upper/lower extremity
-*Positive straight leg raise test
-*Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
-*Positive/negative Trendelenburg sign
-*Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
-*Normal finger-to-nose test / Dysmetria
-*Absent/present dysdiadochokinesia (palm tapping test)
 ==References==