B-cell lymphoma physical examination: Difference between revisions
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{{B-cell lymphoma}} | {{B-cell lymphoma}} | ||
{{CMG}} ; {{AE}} {{Adnan Ezici}} | {{CMG}} ; {{AE}} {{Adnan Ezici}} | ||
==Overview== | ==Overview== | ||
The following physical examination findings may be present among patients with Hodgkin's lymphoma: [[fever]], [[pruritus]], [[petechiae]], [[jaundice]], [[Lymphadenopathy|peripheral lymphadenopathy]], [[Lymphadenopathy|central lymphadenopathy]], [[wheezing]] , chest tenderness, [[abdominal tenderness]], [[hepatomegaly]], [[splenomegaly]] and [[Lymphadenopathy|peripheral lymphadenopathy]].<ref name="pmid32644754">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=32644754 | doi= | pmc= | url= }} </ref><ref name="pmid29763144">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=29763144 | doi= | pmc= | url= }} </ref><ref name="pmid19999217">{{cite journal| author=Hingorjo MR, Syed S| title=Presentation, staging and diagnosis of lymphoma: a clinical perspective. | journal=J Ayub Med Coll Abbottabad | year= 2008 | volume= 20 | issue= 4 | pages= 100-3 | pmid=19999217 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19999217 }} </ref><ref name="pmid28153383">{{cite journal| author=Armitage JO, Gascoyne RD, Lunning MA, Cavalli F| title=Non-Hodgkin lymphoma. | journal=Lancet | year= 2017 | volume= 390 | issue= 10091 | pages= 298-310 | pmid=28153383 | doi=10.1016/S0140-6736(16)32407-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28153383 }} </ref><ref name="pmid32703953">{{cite journal| author=Connors JM, Cozen W, Steidl C, Carbone A, Hoppe RT, Flechtner HH | display-authors=etal| title=Hodgkin lymphoma. | journal=Nat Rev Dis Primers | year= 2020 | volume= 6 | issue= 1 | pages= 61 | pmid=32703953 | doi=10.1038/s41572-020-0189-6 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32703953 }} </ref> | The following physical examination findings may be present among patients with Hodgkin's lymphoma: [[fever]], [[pruritus]], [[petechiae]], [[jaundice]], [[Lymphadenopathy|peripheral lymphadenopathy]], [[Lymphadenopathy|central lymphadenopathy]], [[wheezing]] , chest tenderness, [[abdominal tenderness]], [[hepatomegaly]], [[splenomegaly]] and [[Lymphadenopathy|peripheral lymphadenopathy]]. | ||
==Physical Examination== | |||
The following physical examination findings may be present among patients with B cell lymphomas:<ref name="pmid32644754">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=32644754 | doi= | pmc= | url= }} </ref><ref name="pmid29763144">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=29763144 | doi= | pmc= | url= }} </ref><ref name="pmid19999217">{{cite journal| author=Hingorjo MR, Syed S| title=Presentation, staging and diagnosis of lymphoma: a clinical perspective. | journal=J Ayub Med Coll Abbottabad | year= 2008 | volume= 20 | issue= 4 | pages= 100-3 | pmid=19999217 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19999217 }} </ref><ref name="pmid28153383">{{cite journal| author=Armitage JO, Gascoyne RD, Lunning MA, Cavalli F| title=Non-Hodgkin lymphoma. | journal=Lancet | year= 2017 | volume= 390 | issue= 10091 | pages= 298-310 | pmid=28153383 | doi=10.1016/S0140-6736(16)32407-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28153383 }} </ref><ref name="pmid32703953">{{cite journal| author=Connors JM, Cozen W, Steidl C, Carbone A, Hoppe RT, Flechtner HH | display-authors=etal| title=Hodgkin lymphoma. | journal=Nat Rev Dis Primers | year= 2020 | volume= 6 | issue= 1 | pages= 61 | pmid=32703953 | doi=10.1038/s41572-020-0189-6 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32703953 }} </ref> | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Appearance of the Patients with B cell lymphomas depends on the stage of disease. Patients usually | *Appearance of the Patients with B cell lymphomas depends on the stage of disease. Patients may present with [[cachexic|cachexia]] in late disease stage. | ||
===Vital Signs=== | |||
*Fever | |||
*[[Tachypnea]] | |||
*Asymmetric pulse | |||
===Skin=== | |||
*Skin examination of patients with B cell lymphomas include: | |||
**[[Pallor]] | |||
**[[Pruritus]] | |||
**[[Petechiae]] | |||
**[[Jaundice]] | |||
===HEENT=== | |||
* Abnormalities of the head/hair may include: | |||
**Icteric sclera | |||
**[[Nystagmus]] | |||
*Patients may develop superior vena cava syndrome, which may present with: | |||
**Swelling of the face | |||
**Facial flushing/redness face or cheeks | |||
**Facial tenderness | |||
**Drooping eyelid | |||
**Swelling around the eye | |||
===Neck=== | |||
*[[Lymphadenopathy|Cervical lymphadenopathy]] | |||
===Lungs=== | |||
*Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]] | |||
*Chest tenderness | |||
*Pleural effusion may develop, which has signs and symptoms such as: | |||
**[[Wheezing]] | |||
**Decreased breath sounds | |||
**Asymmetric chest expansion | |||
**Hyperresonance lungs on chest auscultation | |||
===Heart=== | |||
*Cardiovascular examination of patients with B cell lymphomas is usually normal. | |||
===Abdomen=== | |||
*Abdominal examination of patients with B cell lymphomas include: | |||
**[[Abdominal distension]] | |||
**[[Abdominal tenderness]] | |||
**[[Hepatosplenomegaly]] | |||
**[[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]] | |||
===Back=== | |||
*Back examination of patients with B cell lymphomas is usually normal. | |||
===Genitourinary=== | |||
*Genitourinary examination of patients with B cell lymphomas is usually normal. | |||
===Neuromuscular=== | |||
*Neuromuscular examination of patients with B cell lymphomas is usually normal. | |||
===Extremities=== | |||
*[[Lymphadenopathy|Peripheral lymphadenopathy]] | |||
*Joint pain | |||
*[[Edema]] | |||
*[[Bone fractures]] | |||
===CNS=== | |||
*[[Seizures]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] |
Revision as of 14:21, 29 June 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Adnan Ezici, M.D[2]
Overview
The following physical examination findings may be present among patients with Hodgkin's lymphoma: fever, pruritus, petechiae, jaundice, peripheral lymphadenopathy, central lymphadenopathy, wheezing , chest tenderness, abdominal tenderness, hepatomegaly, splenomegaly and peripheral lymphadenopathy.
Physical Examination
The following physical examination findings may be present among patients with B cell lymphomas:[1][2][3][4][5]
Appearance of the Patient
- Appearance of the Patients with B cell lymphomas depends on the stage of disease. Patients may present with cachexia in late disease stage.
Vital Signs
- Fever
- Tachypnea
- Asymmetric pulse
Skin
HEENT
- Abnormalities of the head/hair may include:
- Icteric sclera
- Nystagmus
- Patients may develop superior vena cava syndrome, which may present with:
- Swelling of the face
- Facial flushing/redness face or cheeks
- Facial tenderness
- Drooping eyelid
- Swelling around the eye
Neck
Lungs
- Thoracic masses suggestive of central lymphadenopathy
- Chest tenderness
- Pleural effusion may develop, which has signs and symptoms such as:
- Wheezing
- Decreased breath sounds
- Asymmetric chest expansion
- Hyperresonance lungs on chest auscultation
Heart
- Cardiovascular examination of patients with B cell lymphomas is usually normal.
Abdomen
- Abdominal examination of patients with B cell lymphomas include:
Back
- Back examination of patients with B cell lymphomas is usually normal.
Genitourinary
- Genitourinary examination of patients with B cell lymphomas is usually normal.
Neuromuscular
- Neuromuscular examination of patients with B cell lymphomas is usually normal.
Extremities
- Peripheral lymphadenopathy
- Joint pain
- Edema
- Bone fractures
CNS
References
- ↑ "StatPearls". 2022. PMID 32644754 Check
|pmid=
value (help). - ↑ "StatPearls". 2022. PMID 29763144.
- ↑ Hingorjo MR, Syed S (2008). "Presentation, staging and diagnosis of lymphoma: a clinical perspective". J Ayub Med Coll Abbottabad. 20 (4): 100–3. PMID 19999217.
- ↑ Armitage JO, Gascoyne RD, Lunning MA, Cavalli F (2017). "Non-Hodgkin lymphoma". Lancet. 390 (10091): 298–310. doi:10.1016/S0140-6736(16)32407-2. PMID 28153383.
- ↑ Connors JM, Cozen W, Steidl C, Carbone A, Hoppe RT, Flechtner HH; et al. (2020). "Hodgkin lymphoma". Nat Rev Dis Primers. 6 (1): 61. doi:10.1038/s41572-020-0189-6. PMID 32703953 Check
|pmid=
value (help).