Schwannoma 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 schwannoma usually appears normal and have varying physical examination findings depending on the location and extent of the tumor.
 
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 schwannoma reveals findings depending on the location and extent of tumor.
 
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===
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===Skin===
===Skin===
* Skin examination of patients with schwannoma is usually normal.
* Skin examination of patients with schwannoma usually reveals lumps under the skin.


===HEENT===


===HEENT===
* Xerophthalmia, Xerostomia.
* HEENT examination of patients with [disease name] is usually normal.
*Reduced hearing acuity.
OR
*Abnormal [[Weber test]].
* Abnormalities of the head/hair may include ___
*Abnormal [[Rinne test]].
* Evidence of trauma
* Icteric sclera
* [[Nystagmus]]
* Extra-ocular movements may be abnormal
*Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
*Ophthalmoscopic exam may be abnormal with findings of ___
* Hearing acuity may be reduced
*[[Weber test]] may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
*[[Rinne test]] may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
* [[Exudate]] from the ear canal
* Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
*Inflamed nares / congested nares
* [[Purulent]] exudate from the nares
* Facial tenderness
* Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae


===Neck===
===Neck===
* Neck examination of patients with schwannoma is usually normal.
* Neck examination of patients with schwannoma is usually normal.


<br />
=== Lungs ===


===Lungs===
* Pulmonary examination of patients with schwannoma is usually normal.
* Pulmonary examination of patients with schwannoma is usually normal.


=== Heart ===


===Heart===
* Cardiovascular examination of patients with schwannoma is usually normal.
* Cardiovascular examination of patients with schwannoma is usually normal.


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===Back===
===Back===
* Back examination of patients with schwannoma is usually normal.
* Back examination of patients with schwannoma is usually normal other than any lumps/swellings.
 


===Genitourinary===
===Genitourinary===
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===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with schwannoma is usually abnormal depending upon the tumor extension.
* Neuromuscular examination of patients with schwannoma is usually abnormal depending upon the tumor location.
*Patient is usually oriented to persons, place, and time
* Facial numbness (paresthesia), hypesthesia, and pain suggestive of cranial nerve V deficit.
* Altered mental status
*Facial paresis, taste disturbances, xerophthalmia, lacrimation, xerostomia suggestive of cranial nerve VII deficit.
* Glasgow coma scale is ___ / 15
*Sensorineural hearing loss and unsteady gait suggestive of cranial nerve VIII deficit
* Clonus may be present
*Ataxia suggestive of tumor compressing the cerebellum or brainstem
* 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)
*Abnormal gait i.e tandem 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 schwannoma is usually normal.
* Extremities examination of patients with schwannoma is usually normal.


==References==
==References==

Latest revision as of 02:12, 30 October 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 schwannoma usually appears normal and have varying physical examination findings depending on the location and extent of the tumor.

Physical Examination

Physical examination of patients with schwannoma reveals findings depending on the location and extent of tumor.

Appearance of the Patient

  • Patients with schwannoma usually appear normal.

Vital Signs

  • Normal

Skin

  • Skin examination of patients with schwannoma usually reveals lumps under the skin.

HEENT

Neck

  • Neck examination of patients with schwannoma is usually normal.


Lungs

  • Pulmonary examination of patients with schwannoma is usually normal.

Heart

  • Cardiovascular examination of patients with schwannoma is usually normal.

Abdomen

  • Abdominal examination of patients with schwannoma is usually normal.

Back

  • Back examination of patients with schwannoma is usually normal other than any lumps/swellings.

Genitourinary

  • Genitourinary examination of patients with schwannoma is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with schwannoma is usually abnormal depending upon the tumor location.
  • Facial numbness (paresthesia), hypesthesia, and pain suggestive of cranial nerve V deficit.
  • Facial paresis, taste disturbances, xerophthalmia, lacrimation, xerostomia suggestive of cranial nerve VII deficit.
  • Sensorineural hearing loss and unsteady gait suggestive of cranial nerve VIII deficit
  • Ataxia suggestive of tumor compressing the cerebellum or brainstem

Extremities

  • Extremities examination of patients with schwannoma is usually normal.

References

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