Acromegaly physical examination: Difference between revisions
Jump to navigation
Jump to search
(→Heart) |
(→Heart) |
||
| Line 43: | Line 43: | ||
===Heart=== | ===Heart=== | ||
Cardiac manifestations in acromegaly patients include the following:<ref name="pmid9100571">{{cite journal| author=López-Velasco R, Escobar-Morreale HF, Vega B, Villa E, Sancho JM, Moya-Mur JL et al.| title=Cardiac involvement in acromegaly: specific myocardiopathy or consequence of systemic hypertension? | journal=J Clin Endocrinol Metab | year= 1997 | volume= 82 | issue= 4 | pages= 1047-53 | pmid=9100571 | doi=10.1210/jcem.82.4.3876 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9100571 }} </ref> | Cardiac manifestations in acromegaly patients include the following:<ref name="pmid9100571">{{cite journal| author=López-Velasco R, Escobar-Morreale HF, Vega B, Villa E, Sancho JM, Moya-Mur JL et al.| title=Cardiac involvement in acromegaly: specific myocardiopathy or consequence of systemic hypertension? | journal=J Clin Endocrinol Metab | year= 1997 | volume= 82 | issue= 4 | pages= 1047-53 | pmid=9100571 | doi=10.1210/jcem.82.4.3876 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9100571 }} </ref><ref name="pmid144034">{{cite journal |vauthors=Martins JB, Kerber RE, Sherman BM, Marcus ML, Ehrhardt JC |title=Cardiac size and function in acromegaly |journal=Circulation |volume=56 |issue=5 |pages=863–9 |year=1977 |pmid=144034 |doi= |url=}} </ref> | ||
*Ventricular hypertrophy | *Ventricular hypertrophy | ||
*Diastolic heart failure (the most common cause of death) | *Diastolic heart failure (the most common cause of death) | ||
Revision as of 19:48, 4 August 2017
|
Acromegaly Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Acromegaly physical examination On the Web |
|
American Roentgen Ray Society Images of Acromegaly physical examination |
|
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
- Hypertension
Skin
- Thickening of the skin
- Skin tags
- Acne
- 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
- Macroglossia
- Prognathism
Lungs
- Obstruction of the upper airways
- Obstructive sleep apnea
Heart
Cardiac manifestations in acromegaly patients include the following:[1][2]
- Ventricular hypertrophy
- Diastolic heart failure (the most common cause of death)
- Diastolic and systolic dysfunction
- Arrhythmias
- Cardiomyopathy
Abdomen
- Colon diverticula
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.[3]
- Muscle weakness
- Joint stiffness in late cases
- Malocclusion of patient jaw associated with temporomandibular joint tenderness
- Kyphoscoliosis[4]
- Paresthesia
- Cranial nerves palsy
- Carpal tunnel syndrome
Genitourinary
References
- ↑ López-Velasco R, Escobar-Morreale HF, Vega B, Villa E, Sancho JM, Moya-Mur JL; et al. (1997). "Cardiac involvement in acromegaly: specific myocardiopathy or consequence of systemic hypertension?". J Clin Endocrinol Metab. 82 (4): 1047–53. doi:10.1210/jcem.82.4.3876. PMID 9100571.
- ↑ Martins JB, Kerber RE, Sherman BM, Marcus ML, Ehrhardt JC (1977). "Cardiac size and function in acromegaly". Circulation. 56 (5): 863–9. PMID 144034.
- ↑ 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.
- ↑ 5.0 5.1 Iuliano, Sherry L.; Laws, Edward R. (2014). "Recognizing the clinical manifestations of acromegaly: Case studies". Journal of the American Association of Nurse Practitioners. 26 (3): 136–142. doi:10.1002/2327-6924.12076. ISSN 2327-6886.