Multiple myeloma physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with multiple myeloma usually appear fatigued and [[lethargic]]. | Patients with multiple myeloma 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]]. Any of these physical findings may warrant further evaluation, and thus lead to an incidental diagnosis of multiple myeloma.<ref name="N">Multiple myeloma. Wikipedia (2015) https://en.wikipedia.org/wiki/Multiple_myeloma#Signs_and_symptoms Accessed on September, 20th 2015</ref><ref name="C">Multiple myeloma. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/multiple-myeloma/signs-and-symptoms/?region=mb Accessed on September 20th 2015</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
<ref name="N">Multiple myeloma. Wikipedia (2015) https://en.wikipedia.org/wiki/Multiple_myeloma#Signs_and_symptoms Accessed on September, 20th 2015</ref><ref name="C">Multiple myeloma. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/multiple-myeloma/signs-and-symptoms/?region=mb Accessed on September 20th 2015</ref> | |||
===General appearance=== | ===General appearance=== | ||
Revision as of 12:33, 30 July 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
Patients with multiple myeloma 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. Any of these physical findings may warrant further evaluation, and thus lead to an incidental diagnosis of multiple myeloma.[1][2]
Physical Examination
General appearance
- Multiple myeloma patients often appear lethargic and fatigued
Vital Signs
- Low-grade fever may be present
Skin
- Pallor may be present
- Ecchymoses may be present
- Purpura may be present
HEENT
- Lymphadenopathy may be present
- Conjuctival pallor may be present
- Visual defects may be present
- Exudative retinal detachment
- Retinal haemorrhage may be present
- Increased fat around the neck may be present
- Cotton-wool spots may be present
- Shoulder pad sign may be present due to amyloid deposition around shoulders
Abdomen
- Hepatomegaly may be present
Skeletal
- Tinel's sign may be present
- Phalen sign may be present
CNS
- Dermatomal sensory loss
- Altered sensation may be present
References
- ↑ 1.0 1.1 Multiple myeloma. Wikipedia (2015) https://en.wikipedia.org/wiki/Multiple_myeloma#Signs_and_symptoms Accessed on September, 20th 2015
- ↑ 2.0 2.1 Multiple myeloma. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/multiple-myeloma/signs-and-symptoms/?region=mb Accessed on September 20th 2015