Neutropenia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Daniel A. Gerber, M.D. [2]
Overview
Physical examination should focus on identifying any potential signs of infection and is directed by the patients' presenting symptoms. A rectal examination should not be performed in a patient with neutropenia.
Physical Examination
A rectal examination should not be performed in a patient with neutropenia.[1]
Vital signs
General appearance
- Signs of distress
- Localizing sources of pain
- Conjunctival and palatal pallor
- Petechiae or purpura
- Mucositis or other oropharyngeal lesions
- Lymphadenopathy
Neurological exam
- Confusion or disorientation
- Neck stiffness
- Focal neurological abnormalities
Chest
Abdomen
Extremities
- Joint swelling or deformity
- Rashes
References
- ↑ Freifeld AG, Bow EJ, Sepkowitz KA, Boeckh MJ, Ito JI, Mullen CA, Raad II, Rolston KV, Young JA, Wingard JR; Infectious Diseases Society of America. (2011). "Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america". Clin Infect Dis. 52 (4): e56–95. PMID 21258094.