Struma ovarii physical examination: Difference between revisions
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The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | ||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with Struma ovarii is usually remarkable for: | |||
*Physical examination of patients with | :*Palpable lower abdominal mass | ||
* | :*Pelvic pressure related to a pelvic mass | ||
* | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with Struma ovarii usually appear asymptomatic. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Vital signs in a patient with Struma ovarii appear to be normal. | |||
* | |||
===Skin=== | ===Skin=== | ||
* | *There haven't been any skin manifestations reported with Struma ovarii. | ||
===HEENT=== | ===HEENT=== | ||
* | *There are no significant findings associated with Struma ovarii. | ||
===Neck=== | ===Neck=== | ||
* | *There are no significant findings associated with Struma ovarii. | ||
===Lungs=== | ===Lungs=== | ||
* | *In malignant struma ovarii, distant metastases to the lungs have been observed. <ref name="pmid22613573">{{cite journal |vauthors=Selvaggi F, Risio D, Waku M, Simo D, Angelucci D, D'Aulerio A, Cotellese R, Innocenti P |title=Struma ovarii with follicular thyroid-type carcinoma and neuroendocrine component: case report |journal=World J Surg Oncol |volume=10 |issue= |pages=93 |year=2012 |pmid=22613573 |pmc=3586957 |doi=10.1186/1477-7819-10-93 |url=}}</ref> | ||
*In some cases of Struma ovarii, hydrothorax has been observed. <ref name="pmid19471561">{{cite journal |vauthors=Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS |title=Clinical characteristics of struma ovarii |journal=J Gynecol Oncol |volume=19 |issue=2 |pages=135–8 |year=2008 |pmid=19471561 |pmc=2676458 |doi=10.3802/jgo.2008.19.2.135 |url=}}</ref> | |||
* | |||
===Heart=== | ===Heart=== | ||
Revision as of 21:08, 15 August 2017
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Struma ovarii Microchapters |
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Struma ovarii physical examination On the Web |
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Risk calculators and risk factors for Struma ovarii 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]. OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3]. OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name]. OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- Physical examination of patients with Struma ovarii is usually remarkable for:
- Palpable lower abdominal mass
- Pelvic pressure related to a pelvic mass
Appearance of the Patient
- Patients with Struma ovarii usually appear asymptomatic.
Vital Signs
- Vital signs in a patient with Struma ovarii appear to be normal.
Skin
- There haven't been any skin manifestations reported with Struma ovarii.
HEENT
- There are no significant findings associated with Struma ovarii.
Neck
- There are no significant findings associated with Struma ovarii.
Lungs
- In malignant struma ovarii, distant metastases to the lungs have been observed. [1]
- In some cases of Struma ovarii, hydrothorax has been observed. [2]
Heart
- Chest tenderness upon palpation
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S1
- S2
- S3
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen
- Abdominal distention
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness (positive Blumberg sign)
- A palpable abdominal mass in the right/left upper/lower abdominal quadrant
- Guarding may be present
- Hepatomegaly / splenomegaly / hepatosplenomegaly
- Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
Back
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is ___ / 15
- Clonus may be present
- 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)
Extremities
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity
References
- ↑ Selvaggi F, Risio D, Waku M, Simo D, Angelucci D, D'Aulerio A, Cotellese R, Innocenti P (2012). "Struma ovarii with follicular thyroid-type carcinoma and neuroendocrine component: case report". World J Surg Oncol. 10: 93. doi:10.1186/1477-7819-10-93. PMC 3586957. PMID 22613573.
- ↑ Yoo SC, Chang KH, Lyu MO, Chang SJ, Ryu HS, Kim HS (2008). "Clinical characteristics of struma ovarii". J Gynecol Oncol. 19 (2): 135–8. doi:10.3802/jgo.2008.19.2.135. PMC 2676458. PMID 19471561.