Aplastic anemia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Aplastic anemia}} | {{Aplastic anemia}} | ||
{{CMG}} | {{CMG}} {{shyam}} {{AE}} {{N.F}} | ||
==Overview== | ==Overview== | ||
Common physical examination findings of aplastic anemia include pale color, short stature, dyspnea, [[petechia|petechiae]], [[purpura]], [[ecchymoses]], [[jaundice]], [[pallor]], and [[bruise|bruises]]. Patients can present with [[leukoplakia|oral leukoplakia]], pharyngeal ulcers, [[gingivitis|necrotizing gingivitis]], [[tonsillitis|and tonsillitis]]. | |||
==Physical Examination== | ==Physical Examination== | ||
=== Appearance of the Patient === | ===Appearance of the Patient=== | ||
* | * [[Pallor]]<ref name="pmid29222240">{{cite journal| author=West AH, Churpek JE| title=Old and new tools in the clinical diagnosis of inherited bone marrow failure syndromes. | journal=Hematology Am Soc Hematol Educ Program | year= 2017 | volume= 2017 | issue= 1 | pages= 79-87 | pmid=29222240 | doi=10.1182/asheducation-2017.1.79 | pmc=6142587 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29222240 }} </ref> | ||
* Short stature | * [[Short stature]] | ||
=== Vital Signs === | === Vital Signs === | ||
| Line 18: | Line 20: | ||
* [[Purpura]] | * [[Purpura]] | ||
* [[Ecchymoses]] | * [[Ecchymoses]] | ||
* [[Jaundice]] | * [[Jaundice]] | ||
* [[Pallor]] | * [[Pallor]] | ||
| Line 29: | Line 30: | ||
* [[Microphthalmia|Microphthalmos]] | * [[Microphthalmia|Microphthalmos]] | ||
* [[Leukoplakia|Oral leukoplakia]] | * [[Leukoplakia|Oral leukoplakia]] | ||
* Pharyngeal ulcers | * Pharyngeal ulcers | ||
* [[Gingivitis|Necrotizing gingivitis]] | * [[Gingivitis|Necrotizing gingivitis]] | ||
* [[Tonsillitis]] | * [[Tonsillitis]] | ||
| Line 37: | Line 38: | ||
=== Lungs === | === Lungs === | ||
* Pulmonary examination of patients with aplastic anemia is usually normal unless patients develop [[pneumonia]]. | * Pulmonary examination of patients with aplastic anemia is usually normal unless patients develop [[pneumonia]]. | ||
* Asymmetric chest expansion | * Asymmetric chest expansion | ||
* | * Hyperresonance | ||
* Coarse [[crackles]] | * Coarse [[crackles]] | ||
* [[Rhonchi]] | * [[Rhonchi]] | ||
* Decreased breath sounds | * Decreased breath sounds | ||
* [[Tachypnea]] | * [[Tachypnea]] | ||
* Reduced [[tactile fremitus]] | * Reduced [[tactile fremitus]] | ||
| Line 54: | Line 53: | ||
* [[Abdominal distention]] | * [[Abdominal distention]] | ||
* [[Diarrhea]] | * [[Diarrhea]] | ||
* [[Splenomegaly]] | |||
* [[Hepatomegaly]] | |||
=== Back === | === Back === | ||
| Line 62: | Line 63: | ||
=== Neuromuscular === | === Neuromuscular === | ||
* Neuromuscular examination of patients with aplastic anemia is usually normal. | * Neuromuscular examination of patients with aplastic anemia is usually normal. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Latest revision as of 02:26, 3 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Shyam Patel [2] Associate Editor(s)-in-Chief: Nazia Fuad M.D.
Overview
Common physical examination findings of aplastic anemia include pale color, short stature, dyspnea, petechiae, purpura, ecchymoses, jaundice, pallor, and bruises. Patients can present with oral leukoplakia, pharyngeal ulcers, necrotizing gingivitis, and tonsillitis.
Physical Examination
Appearance of the Patient
Vital Signs
- Fever
- Tachycardia with regular pulse
- Bradypnea
Skin
HEENT
- Icteric sclera
- Nystagmus
- Microcephaly
- Microphthalmos
- Oral leukoplakia
- Pharyngeal ulcers
- Necrotizing gingivitis
- Tonsillitis
Neck
- Neck examination of patients with aplastic anemia is usually normal.
Lungs
- Pulmonary examination of patients with aplastic anemia is usually normal unless patients develop pneumonia.
- Asymmetric chest expansion
- Hyperresonance
- Coarse crackles
- Rhonchi
- Decreased breath sounds
- Tachypnea
- Reduced tactile fremitus
Heart
- Arrythmias
- Murmur
- Chest pain
Abdomen
Back
- Back examination of patients with aplastic anemia is usually normal.
Genitourinary
Neuromuscular
- Neuromuscular examination of patients with aplastic anemia is usually normal.
References
- ↑ West AH, Churpek JE (2017). "Old and new tools in the clinical diagnosis of inherited bone marrow failure syndromes". Hematology Am Soc Hematol Educ Program. 2017 (1): 79–87. doi:10.1182/asheducation-2017.1.79. PMC 6142587. PMID 29222240.