Thymoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Thymoma}} | {{Thymoma}} | ||
{{CMG}}; {{AE}} {{AM}}{{AAM}} | {{CMG}}; {{AE}} {{AM}}{{AAM}} | ||
==Overview== | |||
== Overview == | |||
Patients with thymoma usually appear asymptomatic. | Patients with thymoma usually appear asymptomatic. | ||
==Physical Examination== | |||
== Physical Examination == | |||
The physical examination plays a limited role in the diagnosis of thymoma, it is very important to check general signs for associated diseases. | The physical examination plays a limited role in the diagnosis of thymoma, it is very important to check general signs for associated diseases. | ||
===Apperance=== | |||
*Patient usually appears well and asymptomatic | === Apperance === | ||
===Head and Neck== | |||
*Facial [[swelling]] may be present | * Patient usually appears well and asymptomatic | ||
*Neck [[lump]] may be present | |||
===Chest=== | === Head and Neck === | ||
*Dullness to [[percussion]] on the anterior chest | |||
===Lungs=== | * Facial [[swelling]] may be present | ||
*[[Wheezing]] may be present | * Neck [[lump]] may be present | ||
===Musculoskeletal=== | |||
*[[Muscle weakness]] may be present (suggestive of [[myasthenia gravis]]) | === Chest === | ||
* | |||
==Skin== | * Dullness to [[percussion]] on the anterior chest | ||
*Malar rash May present (suggestive of [[systemic lupus erythrematouses]]) | |||
=== Lungs === | |||
* [[Wheezing]] may be present | |||
=== Musculoskeletal === | |||
* [[Muscle weakness]] may be present (suggestive of [[myasthenia gravis]]) | |||
* Joint deformity may be present (suggestive of an associated joint disease) | |||
=== Skin === | |||
* Malar rash May present (suggestive of [[SLE|systemic lupus erythrematouses]]) | |||
'''Physical examination of myasthenia gravis (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.''' | '''Physical examination of myasthenia gravis (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.''' | ||
A thorough examination demonstrates easy fatigability during following movements: | A thorough examination demonstrates easy fatigability during following movements: | ||
* Looking upward and sidewards for 30 seconds: [[ptosis (eyelid)|ptosis]] and [[diplopia]]. | * Looking upward and sidewards for 30 seconds: [[ptosis (eyelid)|ptosis]] and [[diplopia]]. | ||
* Looking at the feet while lying on the back for 60 seconds | * Looking at the feet while lying on the back for 60 seconds | ||
* Keeping the arms stretched forward for 60 seconds | * Keeping the arms stretched forward for 60 seconds | ||
* 10 | * 10 Deep knee bends | ||
* Walking 30 steps on both the toes and the heels | * Walking 30 steps on both the toes and the heels | ||
* 5 | * 5 Sit-ups, lying down and sitting up completely | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 19:16, 23 September 2015
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Thymoma Microchapters |
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Diagnosis |
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Case Studies |
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Thymoma physical examination On the Web |
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American Roentgen Ray Society Images of Thymoma physical examination |
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Risk calculators and risk factors for Thymoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amr Marawan, M.D. [2]Ahmad Al Maradni, M.D. [3]
Overview
Patients with thymoma usually appear asymptomatic.
Physical Examination
The physical examination plays a limited role in the diagnosis of thymoma, it is very important to check general signs for associated diseases.
Apperance
- Patient usually appears well and asymptomatic
Head and Neck
Chest
- Dullness to percussion on the anterior chest
Lungs
- Wheezing may be present
Musculoskeletal
- Muscle weakness may be present (suggestive of myasthenia gravis)
- Joint deformity may be present (suggestive of an associated joint disease)
Skin
- Malar rash May present (suggestive of systemic lupus erythrematouses)
Physical examination of myasthenia gravis (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.
A thorough examination demonstrates easy fatigability during following movements:
- Looking upward and sidewards for 30 seconds: ptosis and diplopia.
- Looking at the feet while lying on the back for 60 seconds
- Keeping the arms stretched forward for 60 seconds
- 10 Deep knee bends
- Walking 30 steps on both the toes and the heels
- 5 Sit-ups, lying down and sitting up completely