Thymoma physical examination: Difference between revisions
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== 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; however, it is very important to check general signs for associated diseases. | ||
=== Apperance === | === Apperance === | ||
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=== Lungs === | === Lungs === | ||
* [[Wheezing]] may be present | * [[Wheezing]] may be present | ||
=== Musculoskeletal === | === Musculoskeletal === | ||
* [[Muscle weakness]] may be present (suggestive of [[myasthenia gravis]]) | * [[Muscle weakness]] may be present (suggestive of [[myasthenia gravis]]) | ||
* Joint deformity may be present (suggestive of an associated joint disease) | * Joint deformity may be present (suggestive of an associated joint disease) | ||
=== Skin === | === Skin === | ||
* Malar rash May present (suggestive of [[SLE|systemic lupus erythrematouses]]) | * Malar rash May present (suggestive of [[SLE|systemic lupus erythrematouses]]) | ||
'''Physical examination of myasthenia gravis ( | '''Physical examination of myasthenia gravis (observed in 15% of patients with thymoma)''' | ||
A thorough examination demonstrates easy fatigability during the 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 | ||
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* Walking 30 steps on both the toes and the heels | * Walking 30 steps on both the toes and the heels | ||
* 5 Sit-ups, lying down and sitting up completely | * 5 Sit-ups, lying down and sitting up completely | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 16:55, 28 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 of patients with thymoma is may be remarkable for neck lump, facial swelling and wheezing.
Physical Examination
The physical examination plays a limited role in the diagnosis of thymoma; however, 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 (observed in 15% of patients with thymoma) A thorough examination demonstrates easy fatigability during the 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