Uveal melanoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

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

Physical Examination

Physical examination of patients with uveal melanoma is usually remarkable for

Appearance of the Patient

• Patients with uveal melanoma usually appear normal.

Vital Signs

• Patients with uveal melanoma usually present with normal vital signs.

Skin

• Skin examination of patients with uveal melanoma is usually normal.

• Skin nevus or melanoma

HEENT

• Evidence of trauma
• Pupils reactive to light / reactive to accommodation
• Ophthalmoscopic exam may be abnormal with findings of :
  • Iris melanoma:
    • Circumscribed nodule mostly in the inferior half of the iris
    • Different in size
    • Yellow or brown in color
    • It may be diffuse
  • Chroidal melanoma:
    • Nodular mass under the retinal pigment
    • It can be diffuse with less elevation
    • We may see abnormal vascularization
  • Ciliary body melanoma:
    • Sentinel vessel
    • Unilateral low intraocular pressure

Neck

• Neck examination of patients with uveal melanoma is usually normal.

Lungs

• Pulmonary examination of patients with uveal melanoma is usually normal.

Heart

• Cardiovascular examination of patients with uveal melanoma is usually normal.

Abdomen

• Abdominal examination of patients with uveal melanoma is usually normal.

Back

• Back examination of patients with uveal melanoma is usually normal.

Genitourinary

• Genitourinary examination of patients with uveal melanoma is usually normal.

Neuromuscular

• Neuromuscular examination of patients with uveal melanoma is usually normal.

Extremities

• Extremities examination of patients with uveal melanoma is usually normal.