Uveal melanoma physical examination: Difference between revisions
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==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 [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3]. | ||
==Physical Examination== | ==Physical Examination== | ||
Line 29: | Line 17: | ||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with | * Skin examination of patients with uveal melanoma is usually normal.<ref name="AlbertSearl1983">{{cite journal|last1=Albert|first1=Daniel M.|last2=Searl|first2=Steven S.|last3=Forget|first3=Bernadette|last4=Lavin|first4=Philip T.|last5=Kirkwood|first5=John|last6=Nordlund|first6=James J.|title=Uveal Findings in Patients with Cutaneous Melanoma|journal=American Journal of Ophthalmology|volume=95|issue=4|year=1983|pages=474–479|issn=00029394|doi=10.1016/0002-9394(83)90267-2}}</ref> | ||
*Skin nevus or melanoma | |||
===HEENT=== | |||
* Evidence of trauma | * Evidence of trauma | ||
*Pupils reactive to light / reactive to accommodation | |||
*Ophthalmoscopic exam may be abnormal with findings of : | |||
**Iris melanoma: | |||
*Pupils | ***Circumscribed nodule mostly in the inferior half of the iris | ||
*Ophthalmoscopic exam may be abnormal with findings of | ***Different in size | ||
* | ***Yellow or brown in color | ||
* | ***It may be diffuse | ||
* | **Chroidal melanoma: | ||
* | ***Nodular mass under the retinal pigment | ||
* | ***It can be diffuse with less elevation | ||
* | ***We may see abnormal vascularization | ||
* | **Ciliary body melanoma: | ||
* | ***Sentinel vessel | ||
* | ***Unilateral low intraocular pressure | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with | * Neck examination of patients with uveal melanoma is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with | * Pulmonary examination of patients with uveal melanoma is usually normal. | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with | * Cardiovascular examination of patients with uveal melanoma is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal examination of patients with | * Abdominal examination of patients with uveal melanoma is usually normal. | ||
===Back=== | ===Back=== | ||
* Back examination of patients with | * Back examination of patients with uveal melanoma is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with | * Genitourinary examination of patients with uveal melanoma is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with | * Neuromuscular examination of patients with uveal melanoma is usually normal. | ||
===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with | * Extremities examination of patients with uveal melanoma is usually normal. | ||
==References== | ==References== |
Revision as of 14:57, 24 June 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
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].
Physical Examination
Physical examination of patients with uveal melanoma is usually remarkable for
Appearance of the Patient
- Patients with uveal melanoma usually appear normal.
Vital Signs
- Patients with uveal melanoma usually present with normal vital signs.
Skin
- Skin examination of patients with uveal melanoma is usually normal.[1]
- Skin nevus or melanoma
HEENT
- Evidence of trauma
- Pupils reactive to light / reactive to accommodation
- Ophthalmoscopic exam may be abnormal with findings of :
- Iris melanoma:
- Circumscribed nodule mostly in the inferior half of the iris
- Different in size
- Yellow or brown in color
- It may be diffuse
- Chroidal melanoma:
- Nodular mass under the retinal pigment
- It can be diffuse with less elevation
- We may see abnormal vascularization
- Ciliary body melanoma:
- Sentinel vessel
- Unilateral low intraocular pressure
- Iris melanoma:
Neck
- Neck examination of patients with uveal melanoma is usually normal.
Lungs
- Pulmonary examination of patients with uveal melanoma is usually normal.
Heart
- Cardiovascular examination of patients with uveal melanoma is usually normal.
Abdomen
- Abdominal examination of patients with uveal melanoma is usually normal.
Back
- Back examination of patients with uveal melanoma is usually normal.
Genitourinary
- Genitourinary examination of patients with uveal melanoma is usually normal.
Neuromuscular
- Neuromuscular examination of patients with uveal melanoma is usually normal.
Extremities
- Extremities examination of patients with uveal melanoma is usually normal.
References
- ↑ Albert, Daniel M.; Searl, Steven S.; Forget, Bernadette; Lavin, Philip T.; Kirkwood, John; Nordlund, James J. (1983). "Uveal Findings in Patients with Cutaneous Melanoma". American Journal of Ophthalmology. 95 (4): 474–479. doi:10.1016/0002-9394(83)90267-2. ISSN 0002-9394.