Waldenström's macroglobulinemia physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Patients with Waldenström's macroglobulinemia usually appear oriented to time, place, and person. Physical examination of patients with Waldenström's macroglobulinemia is usually remarkable for various findings depending on degree of tissue infiltration by malignant tumor cells, hyperviscosity syndrome, and accumulation of paraprotein.<ref name="COMP">Waldenström's macroglobulinemia. Medscape (2015)http://emedicine.medscape.com/article/207097-overview#a3 Accessed on November 10, 2015</ref> | Patients with Waldenström's macroglobulinemia usually appear oriented to time, place, and person. Physical examination of patients with Waldenström's macroglobulinemia is usually remarkable for various findings depending on degree of tissue infiltration by malignant tumor cells, hyperviscosity syndrome, and accumulation of paraprotein.<ref name="COMP">Waldenström's macroglobulinemia. Medscape (2015)http://emedicine.medscape.com/article/207097-overview#a3 Accessed on November 10, 2015</ref> | ||
===General=== | ===General Appearance=== | ||
*[[ | *Patients with Waldenström's macroglobulinemia are generally well appearing. | ||
===Skin=== | |||
*[[Purpura]] | |||
*[[Raynaud phenomenon]] | |||
===HEENT=== | ===HEENT=== | ||
*[[Pallor]] | *[[Pallor]] | ||
*[[Papilledema]] | *[[Papilledema]] | ||
=== | ===Neck=== | ||
*[[ | *[[Lymphadenopathy]] | ||
*[[Jugular venous distension]] | |||
===Respiratory=== | ===Respiratory=== | ||
*[[Pleural effusion]] - in 3-5% of patients | *[[Pleural effusion]] - in 3-5% of patients | ||
*Rales at lung auscultation | |||
===Cardiovascular system=== | ===Cardiovascular system=== | ||
* | *Displaced apical impulse, | ||
*S3 gallop | |||
===Abdomen=== | ===Abdomen=== | ||
* [[Splenomegaly]] | * [[Splenomegaly]] | ||
* [[Hepatomegaly]] | * [[Hepatomegaly]] | ||
=== | ===Extremity=== | ||
*[[Raynaud phenomenon]] | *[[Raynaud phenomenon]] | ||
*Patients may have peripheral edema if disease is complicated by [[congestive heart failure]]. | |||
===Neuromuscular=== | |||
*[[Peripheral neuropathy]] - distal, symmetric, and sensorimotor | |||
==References== | ==References== | ||
Revision as of 19:19, 17 November 2015
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Waldenström's macroglobulinemia Microchapters |
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Differentiating Waldenström's macroglobulinemia from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mirdula Sharma, MBBS [2]
Overview
Patients with Waldenström's macroglobulinemia usually appear oriented to time, place, and person. Physical examination of patients with Waldenström's macroglobulinemia is usually remarkable for various findings depending on degree of tissue infiltration by malignant tumor cells, hyperviscosity syndrome, and accumulation of paraprotein.[1]
Physical Examination
Patients with Waldenström's macroglobulinemia usually appear oriented to time, place, and person. Physical examination of patients with Waldenström's macroglobulinemia is usually remarkable for various findings depending on degree of tissue infiltration by malignant tumor cells, hyperviscosity syndrome, and accumulation of paraprotein.[1]
General Appearance
- Patients with Waldenström's macroglobulinemia are generally well appearing.
Skin
HEENT
Neck
Respiratory
- Pleural effusion - in 3-5% of patients
- Rales at lung auscultation
Cardiovascular system
- Displaced apical impulse,
- S3 gallop
Abdomen
Extremity
- Raynaud phenomenon
- Patients may have peripheral edema if disease is complicated by congestive heart failure.
Neuromuscular
- Peripheral neuropathy - distal, symmetric, and sensorimotor
References
- ↑ 1.0 1.1 Waldenström's macroglobulinemia. Medscape (2015)http://emedicine.medscape.com/article/207097-overview#a3 Accessed on November 10, 2015