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{{Thymoma}}
{{Thymoma}}
{{CMG}}; {{AE}} {{AM}}{{AAM}}
{{CMG}}; {{AE}} {{AM}}{{AAM}}
==Overview==
 
== Overview ==
 
Patients with thymoma usually appear asymptomatic.
Patients with thymoma usually appear asymptomatic.
==Physical Examination==
 
== 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.
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
=== Apperance ===
===Head and Neck==
 
*Facial [[swelling]] may be present
* Patient usually appears well and asymptomatic
*Neck [[lump]] may be present
 
===Chest===
=== Head and Neck ===
*Dullness to [[percussion]] on the anterior chest
 
===Lungs===
* Facial [[swelling]] may be present
*[[Wheezing]] may be present
* Neck [[lump]] may be present
===Musculoskeletal===
 
*[[Muscle weakness]] may be present (suggestive of [[myasthenia gravis]])
=== Chest ===
*[[Joint deformity]] may be present (suggestive of an associated autoimmune disease)
 
==Skin==
* Dullness to [[percussion]] on the anterior chest
*Malar rash May present (suggestive of [[systemic lupus erythrematouses]])
 
=== Lungs ===
 
* [[Wheezing]] may be present
 
=== Musculoskeletal ===
 
* [[Muscle weakness]] may be present (suggestive of [[myasthenia gravis]])
* Joint deformity may be present (suggestive of an associated joint disease)
=== Skin ===
 
* Malar rash May present (suggestive of [[SLE|systemic lupus erythrematouses]])


'''Physical examination of myasthenia gravis  (associated with 15% of patients with thymoma) Shows muscle fatigability and can be tested for many muscles.'''
'''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:
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
* Keeping the arms stretched forward for 60 seconds
* Keeping the arms stretched forward for 60 seconds
* 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 sit-ups, lying down and sitting up completely
* 5 Sit-ups, lying down and sitting up completely
 
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 19:16, 23 September 2015


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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

Lungs

Musculoskeletal

Skin

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

References

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