Lipoma physical examination: Difference between revisions

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Revision as of 16:40, 22 November 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Shanshan Cen, M.D. [3] Sahar Memar Montazerin, M.D.[4]

Overview

Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency. This mass often occur in the neck, shoulders, back, arms and thighs. Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and location.

Physical examination

Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency.^[1]
Lipomas often occur in the neck, shoulders, back, arms and thighs.

Appearance of the Patient

Patients with lipoma usually appear normal.

Vital Signs

Vital signs of a patients with lipoma are stable.

Skin

Skin examination of patients with a lipoma is usually normal.
Subcutaneous lipoma is palpated as a mobile, soft lump which is usually painless.

HEENT

HEENT examination of patients with a lipoma is usually normal.

Neck

Neck examination of patients with a lipoma is usually normal.

Lungs

Pulmonary examination of patients with a lipoma is usually normal.

Heart

Cardiovascular examination of patients with a lipoma is usually normal.

Abdomen

Abdominal examination of patients with a lipoma is usually normal.

Back

Back examination of patients with a lipoma is usually normal.

Genitourinary

Genitourinary examination of patients with a lipoma is usually normal.

Neuromuscular

Neuromuscular examination of patients with a lipoma is usually normal.
Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and location.
Lipomas of tendon sheaths and joints may present with positive Tinel's sign and Phalen's sign.
Lumbosacral lipoma may cause positive Lasègue's sign.

Extremities

Extremities are common locations for lipoma development and in the presence of lipoma, a mobile lump with a soft consistency will be palpated.

Extremity

Lipoma. Adapted from Dermatology Atlas.^[2]
Lipoma. Adapted from Dermatology Atlas.^[2]
Lipoma. Adapted from Dermatology Atlas.^[2]

Multiple Symmetric Lipomatosis

Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.^[2]
Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.^[2]
Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.^[2]

References

↑ Allen, Brian; Rader, Christine; Babigian, Alan (2007). "Giant lipomas of the upper extremity". Canadian Journal of Plastic Surgery. 15 (3): 141–144. doi:10.1177/229255030701500308. ISSN 1195-2199.
↑ ^2.0 ^2.1 ^2.2 ^2.3 ^2.4 ^2.5 "Dermatology Atlas".

[AllenRader2007-1] Allen, Brian; Rader, Christine; Babigian, Alan (2007). "Giant lipomas of the upper extremity". Canadian Journal of Plastic Surgery. 15 (3): 141–144. doi:10.1177/229255030701500308. ISSN 1195-2199.

[Dermatology_Atlas-2] 2.0 ^2.1 ^2.2 ^2.3 ^2.4 ^2.5 "Dermatology Atlas".

[1]

[2]

@@ Line 3: / Line 3: @@
 {{CMG}};{{AE}} {{KS}} {{SC}} {{Sahar}}
 ==Overview==
-The presence of a painless mobile [[mass]] under the skin on physical examination is highly suggestive of lipoma.
+Physical examination of [[patients]] with a lipoma is usually remarkable for a mobile, painless [[mass]] with a soft consistency. This mass often occur in  the neck, shoulders, back, arms and thighs. Sometimes, lipoma may cause limitation in the range of motions of the [[extremities]] depending on their size and location.
 ==Physical examination==
-*Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency.<ref name="AllenRader2007">{{cite journal|last1=Allen|first1=Brian|last2=Rader|first2=Christine|last3=Babigian|first3=Alan|title=Giant lipomas of the upper extremity|journal=Canadian Journal of Plastic Surgery|volume=15|issue=3|year=2007|pages=141–144|issn=1195-2199|doi=10.1177/229255030701500308}}</ref>
+*[[Physical examination]] of [[patients]] with a lipoma is usually remarkable for a mobile, painless [[mass]] with a soft consistency.<ref name="AllenRader2007">{{cite journal|last1=Allen|first1=Brian|last2=Rader|first2=Christine|last3=Babigian|first3=Alan|title=Giant lipomas of the upper extremity|journal=Canadian Journal of Plastic Surgery|volume=15|issue=3|year=2007|pages=141–144|issn=1195-2199|doi=10.1177/229255030701500308}}</ref>
-*Lipomas often occur in the neck, shoulders, back, arms and thighs.
+*Lipomas often occur in the [[neck]], [[shoulders]], [[back]], arms and [[thighs]].
 ===Appearance of the Patient===
-*Patients with lipoma usually appear normal.
+*[[Patients]] with lipoma usually appear normal.
 ===Vital Signs===
-*Vital signs of a patient with lipoma are stable.
+*[[Vital signs]] of a [[patients]] with lipoma are stable.
 ===Skin===
-*Skin examination of patients with a lipoma is usually normal.
+*[[Skin]] examination of [[patients]] with a lipoma is usually normal.
-*Subcutaneous lipoma is palpated as a mobile, soft lump which is usually painless.
+*[[Subcutaneous]] lipoma is palpated as a mobile, soft [[lump]] which is usually painless.
 ===HEENT===
-* HEENT examination of patients with a lipoma is usually normal.
+* HEENT examination of [[patients]] with a lipoma is usually normal.
 ===Neck===
-* Neck examination of patients with a lipoma is usually normal.
+* Neck examination of [[patients]] with a lipoma is usually normal.
 ===Lungs===
-* Pulmonary examination of patients with a lipoma is usually normal.
+*[[Pulmonary]] examination of [[patients]] with a lipoma is usually normal.
 ===Heart===
-* Cardiovascular examination of patients with a lipoma is usually normal.
+*[[Cardiovascular]] examination of patients with a lipoma is usually normal.
 ===Abdomen===
-* Abdominal examination of patients with a lipoma is usually normal.
+*[[Abdominal]] examination of patients with a lipoma is usually normal.
 ===Back===
-* Back examination of patients with a lipoma is usually normal.
+* Back examination of [[patients]] with a lipoma is usually normal.
 ===Genitourinary===
-* Genitourinary examination of patients with a lipoma is usually normal.
+*[[Genitourinary]] examination of [[patients]] with a lipoma is usually normal.
 ===Neuromuscular===
-* Neuromuscular examination of patients with a lipoma is usually normal.
+*[[Neuromuscular]] examination of [[patients]] with a lipoma is usually normal.
-* Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and location.
+* Sometimes, lipoma may cause limitation in the range of motions of the [[extremities]] depending on their size and location.
+*Lipomas of tendon sheaths and joints may present with positive [[Tinel's sign]] and [[Phalen's sign]].
+*Lumbosacral lipoma may cause positive [[Lasègue's sign]].
 ===Extremities===
-*Extremities are common locations for lipoma development and in the presence of lipoma, a mobile lump with a soft consistency will be palpated.
+*[[Extremities]] are common locations for lipoma development and in the presence of lipoma, a mobile [[lump]] with a soft consistency will be palpated.
 ====Extremity====
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