describe signs we look on each system on physical examination on myoma patient
On physical examination of a patient with myomas (uterine fibroids), healthcare providers may look for signs related to various systems:
1. Reproductive system: Healthcare providers may examine the pelvic area for the presence of a palpable mass or uterus enlargement. The patient may experience abnormal uterine bleeding, spotting between periods, heavy menstrual bleeding, and pelvic pain.
2. Abdomen: Doctors may identify an enlarged uterus on examination, which may feel firm and irregular due to the presence of fibroids.
3. Renal system: If the fibroids are large and press on the bladder or ureters, patients may experience urinary symptoms such as increased frequency, urgency, or difficulty emptying the bladder. This may be evident through symptoms like urinary hesitancy, incomplete emptying, or the presence of a palpable mass in the lower abdomen.
4. Gastrointestinal system: In some cases, large fibroids can cause pressure on the intestines leading to symptoms such as constipation, bloating, abdominal distension, or even bowel obstruction. These symptoms may be identified on examination by assessing for abdominal tenderness, distended abdomen, or palpable masses.
5. Cardiopulmonary system: Severe cases of fibroids can cause pressure on the diaphragm, leading to breathing difficulties, shortness of breath, or chest discomfort. Healthcare providers may look for signs of respiratory distress, decreased lung expansion, or abnormal breath sounds on examination.
6. General appearance: Patients with severe symptoms of myomas may present with signs of anemia such as pallor, fatigue, weakness, or dizziness. Healthcare providers may assess for signs of anemia by looking at the patient's skin color, mucous membranes, and overall appearance.
Overall, physical examination findings in myoma patients may vary based on the size, location, and number of fibroids, as well as the severity of symptoms experienced by the patient. It is important for healthcare providers to conduct a thorough assessment of all body systems to determine the extent of the condition and develop an appropriate treatment plan.