Lymphangioma physical examination

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

Overview

Lymphangioma patients often appear healthy. Physical examination of patients with lymphangioma is usually remarkable for painless , compressible, soft neck mass that often transilluminates is a diagnostic finding on physical exam.

Physical Examination

Physical examination of patients with lymphangioma is usually normal except cystic swellings found in the residing organs.[1]

Appearance of the Patient

Vital Signs

  • No fever
  • Normal Heart rate with regular pulse
  • Normal respiration rate
  • Within normal range

Skin

  • Skin examination of patients with lymphangioma is usually normal or the skin overlying cystic swelling may look bluish.

HEENT

  • HEENT examination of patients with lymphangioma is usually normal.
  • No Abnormalities of the head/hair
  • No Evidence of trauma
  • No Icteric sclera
  • No Nystagmus
  • Extra-ocular movements may be abnormal depending on retro-orbital location of lymphangioma
  • Pupils reactive to light / reactive to accommodation
  • Hearing acuity is normal
  • Weber test is normal
  • Rinne test is normal
  • No Exudate from the ear canal
  • No Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
  • No Inflamed nares / congested nares
  • No Purulent exudate from the nares
  • No Facial tenderness
  • No Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae

Neck

Lungs

  • Asymmetric chest expansion OR decreased chest expansion depending on location of lymphangioma
  • Lungs are hyporesonant.
  • No Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
  • No Rhonchi
  • Vesicular breath sounds OR distant breath sounds may be heard.
  • Wheezing may be present
  • Egophony absent
  • Bronchophony present
  • Reduced tactile fremitus

Heart

  • Cardiovascular examination of patients with lymphangioma is usually normal.

Abdomen

  • Abdominal examination of patients with lymphangioma is usually normal.

Back

  • Back examination of patients with lymphangioma is usually normal.

Genitourinary

  • Genitourinary examination of patients with lymphangioma is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with lymphangioma is usually normal.

Extremities

  • Extremities examination of patients with lymphangioma is usually normal.


References

  1. Patoulias D, Patoulias I, Kaselas C, Kalogirou M, Kyriakos C, Konstantinos F, Feidantsis T, Eleni P (2017). "Cystic Lymphangioma of the Chest Wall in a 5-Year-Old Male Patient: A Rare and Atypical Localization-A Case Report and Comprehensive Review of the Literature". Case Rep Pediatr. 2017: 2083204. doi:10.1155/2017/2083204. PMC 5672607. PMID 29201481.

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