Waldenström's macroglobulinemia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with | Patients with Waldenström macroglobulinemia usually appear oriented to time, place, and person. Physical examination of patients with waldenström's macroglobulinemia is usually remarkable for various findings depending on the degree of tissue infiltration by malignant tumor cells, [[hyperviscosity syndrome]], and accumulation of [[paraprotein]]. | ||
==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | ===General Appearance=== | ||
Patients with Waldenström macroglobulinemia are generally well appearing.<ref name="aa">Waldenström's macroglobulinemia. MedlinePlus (2015) https://www.nlm.nih.gov/medlineplus/ency/article/000588.htm Accessed on November 15th, 2015</ref> | |||
===Skin=== | ===Skin=== | ||
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*Patients may have peripheral edema if disease is complicated by [[congestive heart failure]]. | *Patients may have peripheral edema if disease is complicated by [[congestive heart failure]]. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*[[Peripheral neuropathy]]: distal, symmetric, and sensorimotor<ref name = "cns">{{cite journal |vauthors=Coimbra J, Costa AP, Pita F, Rosado P, de Almeida LB |title=[Neuropathy in Waldenstrom's macroglobulinemia] |language=Portuguese |journal=Acta Med Port |volume=8 |issue=4 |pages=253–7 |year=1995 |pmid=7625222 |doi= |url=}}</ref> | *[[Peripheral neuropathy]]: distal, symmetric, and sensorimotor<ref name="cns">{{cite journal |vauthors=Coimbra J, Costa AP, Pita F, Rosado P, de Almeida LB |title=[Neuropathy in Waldenstrom's macroglobulinemia] |language=Portuguese |journal=Acta Med Port |volume=8 |issue=4 |pages=253–7 |year=1995 |pmid=7625222 |doi= |url=}}</ref> | ||
==References== | ==References== | ||
Revision as of 00:35, 31 October 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mirdula Sharma, MBBS [2]
Overview
Patients with Waldenström macroglobulinemia usually appear oriented to time, place, and person. Physical examination of patients with waldenström's macroglobulinemia is usually remarkable for various findings depending on the degree of tissue infiltration by malignant tumor cells, hyperviscosity syndrome, and accumulation of paraprotein.
Physical Examination
General Appearance
Patients with Waldenström macroglobulinemia are generally well appearing.[1]
Skin
HEENT
Neck
Respiratory
- Pleural effusion - in 3-5% of patients
- Rales on auscultation
Cardiovascular system
- Displaced apical impulse
- S3 gallop
Abdomen
Extremity
- Raynaud phenomenon
- Patients may have peripheral edema if disease is complicated by congestive heart failure.
Neuromuscular
- Peripheral neuropathy: distal, symmetric, and sensorimotor[2]
References
- ↑ Waldenström's macroglobulinemia. MedlinePlus (2015) https://www.nlm.nih.gov/medlineplus/ency/article/000588.htm Accessed on November 15th, 2015
- ↑ Coimbra J, Costa AP, Pita F, Rosado P, de Almeida LB (1995). "[Neuropathy in Waldenstrom's macroglobulinemia]". Acta Med Port (in Portuguese). 8 (4): 253–7. PMID 7625222.