Acromegaly physical examination: Difference between revisions
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===Neuromuscular=== | ===Neuromuscular=== | ||
* Patient is usually oriented to persons, place, and time | *Patient is usually oriented to persons, place, and time | ||
*Osteopenia | |||
* Osteopenia | *Osteoarthritis | ||
* Osteoarthritis | *Joints effusion, swelling, and crepitus | ||
* Joints effusion, swelling, and crepitus | *Acromegaly rosary: hypertrophy of the ribs and costochondral junction enlargement in the chest wall.<ref name="pmid1670798">{{cite journal| author=Ibbertson HK, Manning PJ, Holdaway IM, Gamble G, Synek BJ| title=The acromegalic rosary. | journal=Lancet | year= 1991 | volume= 337 | issue= 8734 | pages= 154-6 | pmid=1670798 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1670798 }} </ref> | ||
* Acromegaly rosary: hypertrophy of the ribs and costochondral junction enlargement in the chest wall.<ref name="pmid1670798">{{cite journal| author=Ibbertson HK, Manning PJ, Holdaway IM, Gamble G, Synek BJ| title=The acromegalic rosary. | journal=Lancet | year= 1991 | volume= 337 | issue= 8734 | pages= 154-6 | pmid=1670798 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1670798 }} </ref> | *Muscle weakness | ||
* Muscle | *Joint stiffness in late cases | ||
*Malocclusion of patient jaw associated with temporomandibular joint tenderness | *Malocclusion of patient jaw associated with temporomandibular joint tenderness | ||
*Kyphoscoliosis<ref name="pmid1521514">{{cite journal| author=Molitch ME| title=Clinical manifestations of acromegaly. | journal=Endocrinol Metab Clin North Am | year= 1992 | volume= 21 | issue= 3 | pages= 597-614 | pmid=1521514 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1521514 }} </ref> | |||
*Paresthesia | |||
*Cranial nerves palsy | |||
*Carpal tunnel syndrome | |||
===Extremities=== | ===Extremities=== | ||
Revision as of 15:47, 4 August 2017
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Acromegaly Microchapters |
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Acromegaly physical examination On the Web |
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Risk calculators and risk factors for Acromegaly physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
- Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
- Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Appearance of the Patient
- Patients with acromegaly usually appear tired.
Vital Signs
- High-grade / low-grade fever
- Hypertension
- Hypothermia / hyperthermia may be present
- Tachycardia with regular pulse or (ir)regularly irregular pulse
- Bradycardia with regular pulse or (ir)regularly irregular pulse
- Tachypnea / bradypnea
- Kussmal respirations may be present in _____ (advanced disease state)
- Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
Skin
- Thickening of the skin
- Skin tags
- Acanthosis nigricans
- Hyperhidrosis
-
Description Template:Acanthosis nigricans in the axilla
HEENT
- Abnormalities of the head include frontal bossing
- Acral enlargement
- Visual deficits
- Hearing acuity may be reduced
- Facial tenderness
- Headache
- Prognathism
Lungs
- Obstruction of the upper airways
- Obstructive sleep apnea
Heart
- Ventricular hypertrophy
- Diastolic heart failure (the most common cause of death)
- Diastolic and systolic dysfunction
- Arrhythmias
Back
- Vertebral fractures
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Osteopenia
- Osteoarthritis
- Joints effusion, swelling, and crepitus
- Acromegaly rosary: hypertrophy of the ribs and costochondral junction enlargement in the chest wall.[1]
- Muscle weakness
- Joint stiffness in late cases
- Malocclusion of patient jaw associated with temporomandibular joint tenderness
- Kyphoscoliosis[2]
- Paresthesia
- Cranial nerves palsy
- Carpal tunnel syndrome
Extremities
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity
References
- ↑ Ibbertson HK, Manning PJ, Holdaway IM, Gamble G, Synek BJ (1991). "The acromegalic rosary". Lancet. 337 (8734): 154–6. PMID 1670798.
- ↑ Molitch ME (1992). "Clinical manifestations of acromegaly". Endocrinol Metab Clin North Am. 21 (3): 597–614. PMID 1521514.