Hamartoma physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
The following physical examination findings may be present among patients with hamartoma:<ref name="so">Stojcev Z, Borun P, Hermann J, et al. Hamartomatous polyposis syndromes. Hered Cancer Clin Pract. 2013;11(1):4.</ref><ref name="radio1">Splenic hamartoma.Dr Henry Knipe et al Radiopedia.http://radiopaedia.org/articles/pulmonary-hamartoma-1 Accessed on December 09, 2015</ref> | |||
=== | |||
* Patients | ===Appearance=== | ||
*Patients usually have a normal appearance. | |||
'''Hypothalamic Hamartoma''' | |||
*Patients with hypothalamic hamartoma may look older than chronological age. | |||
===Vital Signs=== | |||
'''Cardiac Hamartoma''' | |||
* [[Tachycardia]] - present in cardiac hamartoma | |||
* [[Tachypnea]] - present in cardiac hamartoma | |||
===Skin=== | |||
'''Cardiac Hamartoma''' | |||
* The skin is [[cool and clammy]] consistent with hypoperfusion | |||
* [[Cyanosis]] - present in cardiac hamartoma | |||
* [[Anasarca]]- present in cardiac hamartoma | |||
===Neck=== | |||
'''Cardiac Hamartoma''' | |||
*Subcutaneous masses | |||
===Lungs=== | |||
'''Pulmonary Hamartoma''' | |||
*Additional sounds - coarse crackles with inspiration | |||
===Heart=== | |||
'''Cardiac Hamartoma''' | |||
* A functional [[holosystolic murmur]] of [[mitral regurgitation]] may be heard if the heart dilates excessively | |||
* Underlying [[valvular heart disease]] causes of congestive heart failure such as [[aortic stenosis]],[[aortic regurgitation]] and [[mitral regurgitation]] may be auscultated. | |||
===Abdomen=== | |||
'''Kidneys, spleen, and other vascular organs hamartoma''' | |||
*A palpable [[abdominal mass]] in any abdominal quadrant | |||
===Genitourinary=== | |||
'''Hypothalamic Hamartoma''' | |||
*Increased testicular size for chronological age | |||
*Increased breast size chronological age | |||
==References== | ==References== | ||
Revision as of 21:43, 29 January 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Patients with hamartoma usually have a normal appearance. Physical examination shows no remarkable findings.[1]
Physical Examination
The following physical examination findings may be present among patients with hamartoma:[2][3]
Appearance
- Patients usually have a normal appearance.
Hypothalamic Hamartoma
- Patients with hypothalamic hamartoma may look older than chronological age.
Vital Signs
Cardiac Hamartoma
- Tachycardia - present in cardiac hamartoma
- Tachypnea - present in cardiac hamartoma
Skin
Cardiac Hamartoma
- The skin is cool and clammy consistent with hypoperfusion
- Cyanosis - present in cardiac hamartoma
- Anasarca- present in cardiac hamartoma
Neck
Cardiac Hamartoma
- Subcutaneous masses
Lungs
Pulmonary Hamartoma
- Additional sounds - coarse crackles with inspiration
Heart
Cardiac Hamartoma
- A functional holosystolic murmur of mitral regurgitation may be heard if the heart dilates excessively
- Underlying valvular heart disease causes of congestive heart failure such as aortic stenosis,aortic regurgitation and mitral regurgitation may be auscultated.
Abdomen
Kidneys, spleen, and other vascular organs hamartoma
- A palpable abdominal mass in any abdominal quadrant
Genitourinary
Hypothalamic Hamartoma
- Increased testicular size for chronological age
- Increased breast size chronological age
References
- ↑ Hypothalamic hamartoma.Dr Donna D'Souza et al. Radiopedia.http://radiopaedia.org/articles/pulmonary-hamartoma-1 Accessed on December 09, 2015
- ↑ Stojcev Z, Borun P, Hermann J, et al. Hamartomatous polyposis syndromes. Hered Cancer Clin Pract. 2013;11(1):4.
- ↑ Splenic hamartoma.Dr Henry Knipe et al Radiopedia.http://radiopaedia.org/articles/pulmonary-hamartoma-1 Accessed on December 09, 2015