Lymphangioma physical examination: Difference between revisions

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__NOTOC__
__NOTOC__
{{Lymphangioma}}
 
{{CMG}} {{AE}} {{HL}}  
 
{{CMG}}; {{AE}} {{Badria}}
 
==Overview==
==Overview==
Lymphangioma patients often appear healthy. On physical exam a painless , compressible, soft [[neck]] mass that often transilluminates is a diagnostic finding on physical exam.<ref name="wiki">Lymphangioma. Wikipedia (2016) https://en.wikipedia.org/wiki/Lymphangioma Accessed on March 3, 2015</ref><ref name="patho">Lymphangioma. PathologyOutlines (2016) http://www.pathologyoutlines.com/topic/softtissuelymphangiomacystic.html Accessed on March 5, 2016</ref><ref name="patho2">Lymphangioma. Libre Pathology (2016) http://librepathology.org/wiki/Vascular_tumours#Lymphangioma Accessed on March 5, 2016</ref><ref name="radio"> Lymphangioma. Radiopeadia (2016) http://radiopaedia.org/articles/lymphangioma Accessed on March 5, 2016</ref> 
Lymphangioma patients often appear healthy. Physical examination of patients with lymphangioma is usually remarkable for painless , compressible, soft [[neck]] mass that often transilluminates is a diagnostic finding on physical exam.<ref name="pmid29201481">{{cite journal |vauthors=Patoulias D, Patoulias I, Kaselas C, Kalogirou M, Kyriakos C, Konstantinos F, Feidantsis T, Eleni P |title=Cystic Lymphangioma of the Chest Wall in a 5-Year-Old Male Patient: A Rare and Atypical Localization-A Case Report and Comprehensive Review of the Literature |journal=Case Rep Pediatr |volume=2017 |issue= |pages=2083204 |date=2017 |pmid=29201481 |pmc=5672607 |doi=10.1155/2017/2083204 |url=}}</ref>  
==Physical Exam==
 
===General Appearance===
==Physical Examination==
* Lymphangioma patients often appear healthy
Physical examination of patients with [disease name] is usually normal.
 
OR
 
Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
 
OR
 
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
 
OR
 
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
 
===Appearance of the Patient===
*Patients with [[lymphangioma]] usually appear normal.  
 
===Vital Signs===
 
*No fever
*Normal Heart rate with regular pulse
*Normal respiration rate
*Within normal range
===Skin===
* Skin examination of patients with [[lymphangioma]] is usually normal or the skin overlying cystic swelling may look bluish.
 
 
<gallery widths="150px">
 
UploadedImage-01.jpg | Description {{dermref}}
UploadedImage-02.jpg | Description {{dermref}}
 
</gallery>


===HEENT===
===HEENT===
* Painless , compressible, soft [[neck]] mass that often transilluminates.
* HEENT examination of patients with [[lymphangioma]] is usually normal.
* No Abnormalities of the head/hair
* No Evidence of trauma
* No Icteric sclera
* No [[Nystagmus]]
* Extra-ocular movements may be abnormal depending on retro-orbital location of [[lymphangioma]]
*Pupils reactive to light / reactive to accommodation
* Hearing acuity is normal
*[[Weber test]] is normal
*[[Rinne test]] is normal
* No [[Exudate]] from the ear canal
* No Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
* No Inflamed nares / congested nares
* No [[Purulent]] exudate from the nares
* No Facial tenderness
* No Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
 
===Neck===
* Neck examination of patients with [[lymphangioma]] may show soft cystic swelling.
* No [[Jugular venous distension]]
* No [[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
* No [[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
* No [[Thyromegaly]] / thyroid nodules
* No [[Hepatojugular reflux]]
 
===Lungs===
* Asymmetric chest expansion OR decreased chest expansion depending on location of [[lymphangioma]]
* Lungs are hyporesonant.
* No Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
* No Rhonchi
* Vesicular breath sounds OR distant breath sounds may be heard.
*[[Wheezing]] may be present
*[[Egophony]] absent
*[[Bronchophony]] present
* Reduced [[tactile fremitus]]
 
===Heart===
* Cardiovascular examination of patients with [[lymphangioma]] is usually normal.
 
===Abdomen===
* Abdominal examination of patients with [[lymphangioma]] is usually normal.
 
===Back===
* Back examination of patients with [[lymphangioma]] is usually normal.
 
===Genitourinary===
* Genitourinary examination of patients with [[lymphangioma]]  is usually normal.
 
===Neuromuscular===
* Neuromuscular examination of patients with [[lymphangioma]]  is usually normal.
 
===Extremities===
* Extremities examination of patients with [[lymphangioma]] is usually normal.
 
 
==References==
{{Reflist|2}}


==Gallery==
==Gallery==
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Lymphangioma.jpg
Lymphangioma.jpg
</gallery>
</gallery>
==References==
{{reflist|2}}


[[Category:Disease]]
[[Category:Disease]]

Revision as of 21:36, 22 October 2018


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Badria Munir M.B.B.S.[2]

Overview

Lymphangioma patients often appear healthy. Physical examination of patients with lymphangioma is usually remarkable for painless , compressible, soft neck mass that often transilluminates is a diagnostic finding on physical exam.[1]

Physical Examination

Physical examination of patients with [disease name] is usually normal.

OR

Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Appearance of the Patient

Vital Signs

  • No fever
  • Normal Heart rate with regular pulse
  • Normal respiration rate
  • Within normal range

Skin

  • Skin examination of patients with lymphangioma is usually normal or the skin overlying cystic swelling may look bluish.


HEENT

  • HEENT examination of patients with lymphangioma is usually normal.
  • No Abnormalities of the head/hair
  • No Evidence of trauma
  • No Icteric sclera
  • No Nystagmus
  • Extra-ocular movements may be abnormal depending on retro-orbital location of lymphangioma
  • Pupils reactive to light / reactive to accommodation
  • Hearing acuity is normal
  • Weber test is normal
  • Rinne test is normal
  • No Exudate from the ear canal
  • No Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
  • No Inflamed nares / congested nares
  • No Purulent exudate from the nares
  • No Facial tenderness
  • No Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae

Neck

Lungs

  • Asymmetric chest expansion OR decreased chest expansion depending on location of lymphangioma
  • Lungs are hyporesonant.
  • No Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
  • No Rhonchi
  • Vesicular breath sounds OR distant breath sounds may be heard.
  • Wheezing may be present
  • Egophony absent
  • Bronchophony present
  • Reduced tactile fremitus

Heart

  • Cardiovascular examination of patients with lymphangioma is usually normal.

Abdomen

  • Abdominal examination of patients with lymphangioma is usually normal.

Back

  • Back examination of patients with lymphangioma is usually normal.

Genitourinary

  • Genitourinary examination of patients with lymphangioma is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with lymphangioma is usually normal.

Extremities

  • Extremities examination of patients with lymphangioma is usually normal.


References

  1. ↑ Patoulias D, Patoulias I, Kaselas C, Kalogirou M, Kyriakos C, Konstantinos F, Feidantsis T, Eleni P (2017). "Cystic Lymphangioma of the Chest Wall in a 5-Year-Old Male Patient: A Rare and Atypical Localization-A Case Report and Comprehensive Review of the Literature". Case Rep Pediatr. 2017: 2083204. doi:10.1155/2017/2083204. PMC 5672607. PMID 29201481.

Gallery


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