Uveal melanoma physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with uveal melanoma usually appear normal. Physical examination of patients with uveal melanoma is usually remarkable for ophthalmologic findings of melanoma. | Patients with uveal melanoma usually appear normal. Physical examination of [[Patient|patients]] with uveal melanoma is usually remarkable for [[Ophthalmology|ophthalmologic]] findings of melanoma. | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with uveal melanoma usually appear normal. | *[[Patients]] with uveal melanoma usually appear normal. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* Patients with uveal melanoma usually present with normal vital signs. | *[[Patients]] with uveal melanoma usually present with normal [[vital signs]]. | ||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with uveal melanoma is usually normal.<ref name="AlbertSearl1983">{{cite journal|last1=Albert|first1=Daniel M.|last2=Searl|first2=Steven S.|last3=Forget|first3=Bernadette|last4=Lavin|first4=Philip T.|last5=Kirkwood|first5=John|last6=Nordlund|first6=James J.|title=Uveal Findings in Patients with Cutaneous Melanoma|journal=American Journal of Ophthalmology|volume=95|issue=4|year=1983|pages=474–479|issn=00029394|doi=10.1016/0002-9394(83)90267-2}}</ref> | *[[Skin]] examination of [[patients]] with uveal melanoma is usually normal.<ref name="AlbertSearl1983">{{cite journal|last1=Albert|first1=Daniel M.|last2=Searl|first2=Steven S.|last3=Forget|first3=Bernadette|last4=Lavin|first4=Philip T.|last5=Kirkwood|first5=John|last6=Nordlund|first6=James J.|title=Uveal Findings in Patients with Cutaneous Melanoma|journal=American Journal of Ophthalmology|volume=95|issue=4|year=1983|pages=474–479|issn=00029394|doi=10.1016/0002-9394(83)90267-2}}</ref> | ||
*Skin nevus or melanoma | *[[Skin]] [[nevus]] or melanoma | ||
===HEENT=== | ===HEENT=== | ||
* Evidence of trauma | * Evidence of [[trauma]] | ||
*Pupils reactive to light / reactive to accommodation | *[[Pupils]] reactive to light / reactive to accommodation | ||
*Ophthalmoscopic exam may be abnormal with findings of : | *Ophthalmoscopic exam may be abnormal with findings of : | ||
**Iris melanoma: | **[[Iris]] [[melanoma]]: | ||
***Circumscribed nodule mostly in the inferior half of the iris | ***Circumscribed nodule mostly in the inferior half of the [[iris]] | ||
***Different in size | ***Different in size | ||
***Yellow or brown in color | ***Yellow or brown in color | ||
***It may be diffuse | ***It may be diffuse | ||
**Chroidal melanoma: | **Chroidal [[melanoma]]: | ||
***Nodular mass under the retinal pigment | ***Nodular [[mass]] under the [[Retinal pigment epithelium|retinal pigment]] | ||
***It can be diffuse with less elevation | ***It can be diffuse with less elevation | ||
***We may see abnormal vascularization | ***We may see abnormal vascularization | ||
**Ciliary body melanoma: | **[[Ciliary body]] melanoma: | ||
***Sentinel vessel | ***Sentinel vessel | ||
***Unilateral low intraocular pressure | ***Unilateral low [[intraocular pressure]] | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with uveal melanoma is usually normal. | *[[Neck]] examination of [[patients]] with uveal melanoma is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with uveal melanoma is usually normal. | *[[Pulmonary]] examination of patients with uveal melanoma is usually normal. | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with uveal melanoma is usually normal. | *[[Cardiovascular]] examination of patients with uveal melanoma is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal examination of patients with uveal melanoma is usually normal. | *[[Abdominal]] examination of patients with uveal melanoma is usually normal. | ||
===Back=== | ===Back=== | ||
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===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with uveal melanoma is usually normal. | *[[Genitourinary]] examination of patients with uveal melanoma is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with uveal melanoma is usually normal. | *[[Neuromuscular]] examination of patients with uveal melanoma is usually normal. | ||
===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with uveal melanoma is usually normal. | *[[Extremities]] examination of patients with uveal melanoma is usually normal. | ||
==References== | ==References== | ||
Revision as of 15:39, 13 August 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
Patients with uveal melanoma usually appear normal. Physical examination of patients with uveal melanoma is usually remarkable for ophthalmologic findings of melanoma.
Physical Examination
Appearance of the Patient
- Patients with uveal melanoma usually appear normal.
Vital Signs
- Patients with uveal melanoma usually present with normal vital signs.
Skin
HEENT
- Evidence of trauma
- Pupils reactive to light / reactive to accommodation
- Ophthalmoscopic exam may be abnormal with findings of :
- Iris melanoma:
- Circumscribed nodule mostly in the inferior half of the iris
- Different in size
- Yellow or brown in color
- It may be diffuse
- Chroidal melanoma:
- Nodular mass under the retinal pigment
- It can be diffuse with less elevation
- We may see abnormal vascularization
- Ciliary body melanoma:
- Sentinel vessel
- Unilateral low intraocular pressure
- Iris melanoma:
Neck
Lungs
- Pulmonary examination of patients with uveal melanoma is usually normal.
Heart
- Cardiovascular examination of patients with uveal melanoma is usually normal.
Abdomen
- Abdominal examination of patients with uveal melanoma is usually normal.
Back
- Back examination of patients with uveal melanoma is usually normal.
Genitourinary
- Genitourinary examination of patients with uveal melanoma is usually normal.
Neuromuscular
- Neuromuscular examination of patients with uveal melanoma is usually normal.
Extremities
- Extremities examination of patients with uveal melanoma is usually normal.
References
- ↑ Albert, Daniel M.; Searl, Steven S.; Forget, Bernadette; Lavin, Philip T.; Kirkwood, John; Nordlund, James J. (1983). "Uveal Findings in Patients with Cutaneous Melanoma". American Journal of Ophthalmology. 95 (4): 474–479. doi:10.1016/0002-9394(83)90267-2. ISSN 0002-9394.