Lipoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Shanshan Cen, M.D. [3] Sahar Memar Montazerin, M.D.[4]

Overview

The presence of a painless mobile mass under the skin on physical examination is highly suggestive of lipoma.

Physical examination

  • Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency.[1]
  • Lipomas often occur in the neck, shoulders, back, arms and thighs.

Appearance of the Patient

  • Patients with lipoma usually appear normal.

Vital Signs

  • Vital signs of a patient with lipoma are stable.

Skin

  • Skin examination of patients with a lipoma is usually normal.
  • Subcutaneous lipoma is palpated as a mobile, soft lump which is usually painless.

HEENT

  • HEENT examination of patients with a lipoma is usually normal.

Neck

  • Neck examination of patients with a lipoma is usually normal.

Lungs

  • Pulmonary examination of patients with a lipoma is usually normal.

Heart

  • Cardiovascular examination of patients with a lipoma is usually normal.

Abdomen

  • Abdominal examination of patients with a lipoma is usually normal.

Back

  • Back examination of patients with a lipoma is usually normal.

Genitourinary

  • Genitourinary examination of patients with a lipoma is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with a lipoma is usually normal.
  • Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and location.

Extremities

  • Extremities are common locations for lipoma development and in the presence of lipoma, a mobile lump with a soft consistency will be palpated.

Extremity

Multiple Symmetric Lipomatosis

References

  1. Allen, Brian; Rader, Christine; Babigian, Alan (2007). "Giant lipomas of the upper extremity". Canadian Journal of Plastic Surgery. 15 (3): 141–144. doi:10.1177/229255030701500308. ISSN 1195-2199.
  2. 2.0 2.1 2.2 2.3 2.4 2.5 "Dermatology Atlas".