Multiple myeloma physical examination: Difference between revisions
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===General appearance=== | ===General appearance=== | ||
*[[Lethargic]] | *[[Lethargic]] | ||
*Fatigued | |||
===Vital Signs=== | ===Vital Signs=== | ||
Revision as of 16:44, 20 September 2015
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Multiple myeloma Microchapters |
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Diagnosis |
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Multiple myeloma physical examination On the Web |
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American Roentgen Ray Society Images of Multiple myeloma physical examination |
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Risk calculators and risk factors for Multiple myeloma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients with multiple usually appear fatigued and lethargic. Physical examination of patients with multiple myeloma is usually remarkable for pallor, purpura, hepatosplenomegaly, carpal tunnel syndrome, and signs of cord compression. Multiple myeloma affects not only the bone marrow, but also spreads to other organ systems. This therefore, requires a detailed assessment of various organ systems. Any of these physical findings may warrant further evaluation, and thus leads to an incidental diagnosis of multiple myeloma.
Physical Examination
General appearance
- Lethargic
- Fatigued
Vital Signs
- Low-grade fever
Cardiovascular
- Cardiomyopathy
Abdomen
Skeletal
Skin
HEENT
- Lymphadenopathy
- Conjuctival pallor
- Visual defects
- Exudative macular detachment
- Retinal haemorrhage
- Increased fat around the neck
- Cotton-wool spots
- Shoulder pad sign - amyloid deposition around shoulders.
CNS
- Altered sensation
- Dermatomal sensory loss
- Polyeuropathy