Monoclonal Gammopathy: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

• General physical examination – including blood pressure, pulse, body weight, height; further:
  • Inspection (viewing).
    • Skin, mucous membranes, and sclerae (white part of eye) [signs of pruritus (itching), anemia (anemia)?; skin hemorrhages?]
  • Inspection and palpation (palpation) of the lymph node stations (cervical, axillary, supraclavicular, inguinal).
  • Inspection and palpation of the spine
  • Auscultation (listening) of the heart
  • Auscultation of the lungs
  • Examination of the abdomen (belly)
    • Percussion (tapping) of the abdomen
      • [Attenuation of tapping sound due to enlarged liver or spleen, tumor, urinary retention?
      • Hepatomegaly (liver enlargement) and/or splenomegaly (spleen enlargement): estimate liver and spleen size.
    • Palpation (palpation) of the abdomen (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?).

Square brackets [ ] indicate possible pathological (pathological) physical findings.