Hamartoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hamartoma}} | {{Hamartoma}} | ||
{{CMG}}{{AE}}{{MV}} | {{CMG}}{{AE}}{{MV}} {{VKG}} | ||
==Overview== | ==Overview== | ||
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===Appearance=== | ===Appearance=== | ||
*Patients usually have a normal appearance. | *Patients usually have a normal appearance. | ||
'''Hypothalamic Hamartoma''' | '''Hypothalamic Hamartoma'''<ref name="Jiménez de DomingoHaro Diaz2015">{{cite journal|last1=Jiménez de Domingo|first1=A.|last2=Haro Diaz|first2=A.M.|last3=Miranda Herrero|first3=M.C.|last4=Sanz Fernández|first4=M.|last5=Aguado del Hoyo|first5=A.|title=Forms of clinical presentation of hypothalamic hamartoma|journal=Anales de Pediatría (English Edition)|volume=83|issue=1|year=2015|pages=60–62|issn=23412879|doi=10.1016/j.anpede.2015.06.004}}</ref><ref name="DiehlPrayson2003">{{cite journal|last1=Diehl|first1=B|last2=Prayson|first2=R|last3=Najm|first3=I|last4=Ruggieri|first4=P|title=Hamartomas and epilepsy: clinical and imaging characteristics|journal=Seizure|volume=12|issue=5|year=2003|pages=307–311|issn=10591311|doi=10.1016/S1059-1311(02)00272-8}}</ref> | ||
*Patients with [[hypothalamic hamartoma]] may look older than their chronological age. | *Patients with [[hypothalamic hamartoma]] may look older than their chronological age. | ||
===Vital Signs=== | ===Vital Signs=== | ||
'''Cardiac Hamartoma''' | '''Cardiac Hamartoma'''<ref name="pmid30062244">{{cite journal |vauthors=Abuzaid AS, Gakhal M, Montgomery E, LaPoint R, Horn R, Banbury MK |title=Cardiac Hamartoma: A Diagnostic Challenge |journal=CASE (Phila) |volume=1 |issue=2 |pages=59–61 |date=April 2017 |pmid=30062244 |pmc=6034476 |doi=10.1016/j.case.2017.01.014 |url=}}</ref> | ||
* [[Tachycardia]] - present in [[cardiac]] [[hamartoma]] | * [[Tachycardia]] - present in [[cardiac]] [[hamartoma]] | ||
* [[Tachypnea]] - present in [[cardiac]] [[hamartoma]] | * [[Tachypnea]] - present in [[cardiac]] [[hamartoma]] | ||
Latest revision as of 17:13, 17 September 2018
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Hamartoma Microchapters |
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Hamartoma physical examination On the Web |
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American Roentgen Ray Society Images of Hamartoma physical examination |
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Risk calculators and risk factors for Hamartoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2] Vamsikrishna Gunnam M.B.B.S [3]
Overview
Patients with hamartoma usually have a normal appearance. Physical examination shows no remarkable findings.
Physical Examination
The following physical examination findings may be present among patients with hamartoma:[1][2][3]
Appearance
- Patients usually have a normal appearance.
- Patients with hypothalamic hamartoma may look older than their chronological age.
Vital Signs
Cardiac Hamartoma[6]
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 may be present in any abdominal quadrant
Genitourinary
Hypothalamic Hamartoma
- Increased testicular size for chronological age
- Increased breast size chronological age
References
- ↑ 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
- ↑ Hypothalamic hamartoma.Dr Donna D'Souza et al. Radiopedia.http://radiopaedia.org/articles/pulmonary-hamartoma-1 Accessed on December 09, 2015
- ↑ Jiménez de Domingo, A.; Haro Diaz, A.M.; Miranda Herrero, M.C.; Sanz Fernández, M.; Aguado del Hoyo, A. (2015). "Forms of clinical presentation of hypothalamic hamartoma". Anales de Pediatría (English Edition). 83 (1): 60–62. doi:10.1016/j.anpede.2015.06.004. ISSN 2341-2879.
- ↑ Diehl, B; Prayson, R; Najm, I; Ruggieri, P (2003). "Hamartomas and epilepsy: clinical and imaging characteristics". Seizure. 12 (5): 307–311. doi:10.1016/S1059-1311(02)00272-8. ISSN 1059-1311.
- ↑ Abuzaid AS, Gakhal M, Montgomery E, LaPoint R, Horn R, Banbury MK (April 2017). "Cardiac Hamartoma: A Diagnostic Challenge". CASE (Phila). 1 (2): 59–61. doi:10.1016/j.case.2017.01.014. PMC 6034476. PMID 30062244.