Pleomorphic adenoma physical examination: Difference between revisions

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{{Pleomorphic adenoma}}
{{Pleomorphic adenoma}}


{{CMG}}; {{AE}}
{{CMG}}; {{AE}} {{M.N}}


==Overview==
==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].
[[Patients]] with pleomorphic adenoma are usually normal in general and they have normal [[physical examination]] except a visible [[swelling]] or para-pharyngeal [[mass]] which is [[palpable]] if the [[tumor]] arises from the deep lobe of the [[parotid]].
 
OR
 
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
 
OR
 
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
 
OR
 
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].


==Physical Examination==
==Physical Examination==
Physical examination of patients with [disease name] is usually normal.
[[Physical examination]] of [[patients]] with pleomorphic adenoma is usually normal.
 
OR
 
Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
 
OR
 
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
 
OR
 
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
 
===Appearance of the Patient===
===Appearance of the Patient===
*Patients with Pleomorphic adenoma usually appear normal.
*Patients with pleomorphic adenoma usually appear normal.


===Vital Signs===
===Vital Signs===
*Their vital signs are within normal limits.
*Their [[Vital signs (medicine)|vital signs]] are within normal limits.


===Skin===
===Skin===
* Skin examination of patients with Pleomorphic adenoma is usually normal.
* [[Skin]] [[examination]] of [[patients]] with pleomorphic adenoma is usually normal.


===HEENT===
===HEENT===
* HEENT examination of patients with Pleomorphic adenoma is usually normal.
*When pleomorphic adenoma involves the deep lobe of the [[Parotid glands|parotid gland]] it presents as para-pharyngeal mass which can be [[palpable]].<ref name="Infante-CossioGonzalez-Cardero2018">{{cite journal|last1=Infante-Cossio|first1=P|last2=Gonzalez-Cardero|first2=E|last3=Garcia-Perla-Garcia|first3=A.|last4=Montes-Latorre|first4=E|last5=Gutierrez-Perez|first5=JL|last6=Prats-Golczer|first6=E|title=Complications after superficial parotidectomy for pleomorphic adenoma|journal=Medicina Oral Patología Oral y Cirugia Bucal|year=2018|pages=0–0|issn=16986946|doi=10.4317/medoral.22386}}</ref>


===Neck===
===Neck===
* Neck examination of patients with Pleomorphic adenoma is usually normal.
* [[Neck]] [[examination]] of [[patients]] with pleomorphic adenoma is usually normal.


===Lungs===
===Lungs===
* Pulmonary examination of patients with Pleomorphic adenoma is usually normal.
* [[Pulmonary examination]] of [[patients]] with pleomorphic adenoma is usually normal.


===Heart===
===Heart===
* Cardiovascular examination of patients with [disease name] is usually normal.
* [[Cardiovascular]] [[examination]] of [[patients]] with pleomorphic adenoma is usually normal.
OR
*Chest tenderness upon palpation
*PMI within 2 cm of the sternum  (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
*[[Heave]] / [[thrill]]
*[[Friction rub]]
*[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
*[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
*[[Heart sounds#Third heart sound S3|S3]]
*[[Heart sounds#Fourth heart sound S4|S4]]
*[[Heart sounds#Summation Gallop|Gallops]]
*A high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope


===Abdomen===
===Abdomen===
* Abdominal examination of patients with [disease name] is usually normal.
* [[Abdominal examination]] of [[patients]] with pleomorphic adenoma is usually normal.
OR
*[[Abdominal distension]]
*[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant
*[[Rebound tenderness]] (positive Blumberg sign)
*A palpable abdominal mass in the right/left upper/lower abdominal quadrant
*Guarding may be present
*[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
*Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test


===Back===
===Back===
* Back examination of patients with [disease name] is usually normal.
* [[Back]] [[examination]] of [[patients]] with pleomorphic adenoma is usually normal.
OR
*Point tenderness over __ vertebrae (e.g. L3-L4)
*Sacral edema
*Costovertebral angle tenderness bilaterally/unilaterally
*Buffalo hump


===Genitourinary===
===Genitourinary===
* Genitourinary examination of patients with [disease name] is usually normal.
* [[Genitourinary]] [[examination]] of [[patients]] with pleomorphic adenoma is usually normal.
OR
*A pelvic/adnexal mass may be palpated
*Inflamed mucosa
*Clear/(color), foul-smelling/odorless penile/vaginal discharge


===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with [disease name] is usually normal.
* [[Neuromuscular]] [[examination]] of [[patients]] with pleomorphic adenoma is usually normal.
OR
*Patient is usually oriented to persons, place, and time
* Altered mental status
* Glasgow coma scale is ___ / 15
* Clonus may be present
* Hyperreflexia / hyporeflexia / areflexia
* Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
* Muscle rigidity
* Proximal/distal muscle weakness unilaterally/bilaterally
* ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
*Unilateral/bilateral upper/lower extremity weakness
*Unilateral/bilateral sensory loss in the upper/lower extremity
*Positive straight leg raise test
*Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
*Positive/negative Trendelenburg sign
*Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
*Normal finger-to-nose test / Dysmetria
*Absent/present dysdiadochokinesia (palm tapping test)


===Extremities===
===Extremities===
* Extremities examination of patients with [disease name] is usually normal.
* [[Extremities]] [[examination]] of [[patients]] with pleomorphic adenoma is usually normal.
OR
*[[Clubbing]]  
*[[Cyanosis]]  
*Pitting/non-pitting [[edema]] of the upper/lower extremities
*Muscle atrophy
*Fasciculations in the upper/lower extremity


==References==
==References==
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{{WH}}
{{WH}}
{{WS}}
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[[Category: (name of the system)]]
 
[[Category: Otolaryngology]]
[[Category: Medicine]]
[[Category: Oncology]]
[[Category: Surgery]]
[[Category: Up-To-Date]]

Latest revision as of 18:53, 28 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2]

Overview

Patients with pleomorphic adenoma are usually normal in general and they have normal physical examination except a visible swelling or para-pharyngeal mass which is palpable if the tumor arises from the deep lobe of the parotid.

Physical Examination

Physical examination of patients with pleomorphic adenoma is usually normal.

Appearance of the Patient

  • Patients with pleomorphic adenoma usually appear normal.

Vital Signs

Skin

HEENT

  • When pleomorphic adenoma involves the deep lobe of the parotid gland it presents as para-pharyngeal mass which can be palpable.[1]

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

References

  1. Infante-Cossio, P; Gonzalez-Cardero, E; Garcia-Perla-Garcia, A.; Montes-Latorre, E; Gutierrez-Perez, JL; Prats-Golczer, E (2018). "Complications after superficial parotidectomy for pleomorphic adenoma". Medicina Oral Patología Oral y Cirugia Bucal: 0–0. doi:10.4317/medoral.22386. ISSN 1698-6946.

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