Thymoma physical examination: Difference between revisions
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Patients with thymoma usually appear asymptomatic. Physical examination of patients with thymoma is may be remarkable for neck lump, facial [[swelling]] and [[wheezing]]. | 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 == | == 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. | The physical examination plays a limited role in the diagnosis of thymoma; however, it is very important to check general signs for associated diseases. | ||
=== | === Appearance of the Patient === | ||
* Patient usually appears well and asymptomatic | * Patient usually appears well and asymptomatic | ||
=== Skin === | |||
* Malar rash May present (suggestive of [[SLE|systemic lupus erythrematouses]]) | |||
=== Head and Neck === | === Head and Neck === | ||
| Line 33: | Line 33: | ||
* [[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) | ||
'''Physical examination of myasthenia gravis (observed in 15% of patients with thymoma)''' | '''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 the following movements: | ||
Revision as of 17:50, 6 August 2018
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Thymoma Microchapters |
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Diagnosis |
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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.
Appearance of the Patient
- Patient usually appears well and asymptomatic
Skin
- Malar rash May present (suggestive of systemic lupus erythrematouses)
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)
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