Thymoma physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
{{CMG}}; {{AE}} {{AM}}{{AAM}} | {{CMG}}; {{AE}} {{AM}}{{AAM}} | ||
==Overview== | ==Overview== | ||
Patients with thymoma usually appear asymptomatic. | Patients with thymoma usually appear asymptomatic. | ||
==Physical Examination== | |||
The physical examination plays a limited role in the diagnosis of thymoma, it is very important to check general signs for associated diseases. | |||
===Apperance=== | |||
*Patient usually appears well and asymptomatic | |||
===Head and Neck== | |||
*Facial [[swelling]] may be present | |||
*Neck [[lump]] may be present | |||
===Chest=== | |||
*Dullness to [[percussion]] on the anterior chest | |||
===Lungs=== | |||
*[[Wheezing]] may be present | |||
===Musckulo Sekeletal=== | |||
*[[Muscle weakness]] may be present (suggestive of [[Myasthenia gravis]]) | |||
*[[Joint stiffness]] may be present (suggestive of an associated autoimmune disease) | |||
'''Physical examination of myasthenia gravis (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.''' | |||
A thorough examination demonstrates easy fatigability during following movements: | |||
* Looking upward and sidewards for 30 seconds: [[ptosis (eyelid)|ptosis]] and [[diplopia]]. | * Looking upward and sidewards for 30 seconds: [[ptosis (eyelid)|ptosis]] and [[diplopia]]. | ||
* Looking at the feet while lying on the back for 60 seconds | * Looking at the feet while lying on the back for 60 seconds | ||
| Line 18: | Line 27: | ||
* 10 deep knee bends | * 10 deep knee bends | ||
* Walking 30 steps on both the toes and the heels | * Walking 30 steps on both the toes and the heels | ||
* 5 | * 5 sit-ups, lying down and sitting up completely | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Types of cancer]] | [[Category:Types of cancer]] | ||
[[Category:Rare diseases]] | [[Category:Rare diseases]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Revision as of 19:07, 23 September 2015
|
Thymoma Microchapters |
|
Diagnosis |
|---|
|
Case Studies |
|
Thymoma physical examination On the Web |
|
American Roentgen Ray Society Images of Thymoma physical examination |
|
Risk calculators and risk factors for Thymoma physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amr Marawan, M.D. [2]Ahmad Al Maradni, M.D. [3]
Overview
Patients with thymoma usually appear asymptomatic.
Physical Examination
The physical examination plays a limited role in the diagnosis of thymoma, it is very important to check general signs for associated diseases.
Apperance
- Patient usually appears well and asymptomatic
=Head and Neck
Chest
- Dullness to percussion on the anterior chest
Lungs
- Wheezing may be present
Musckulo Sekeletal
- Muscle weakness may be present (suggestive of Myasthenia gravis)
- Joint stiffness may be present (suggestive of an associated autoimmune disease)
Physical examination of myasthenia gravis (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.
A thorough examination demonstrates easy fatigability during following movements:
- Looking upward and sidewards for 30 seconds: ptosis and diplopia.
- Looking at the feet while lying on the back for 60 seconds
- Keeping the arms stretched forward for 60 seconds
- 10 deep knee bends
- Walking 30 steps on both the toes and the heels
- 5 sit-ups, lying down and sitting up completely