Lymphangioma physical examination

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.

Physical Examination

Physical examination of patients with lymphangioma is usually normal except cystic swellings found in the residing organs.

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.

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  Description (Adapted from Dermatology Atlas)

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

• 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.

Gallery

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