Folate deficiency physical examination: Difference between revisions
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{{Folate deficiency}} | {{Folate deficiency}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
Patients with folate deficiency may appear normal in some cases but usually if [[anemia]] is moderate or severe, the patient would appear [[Pallor|pale]],malnourished or underdeveloped. All organ systems can be involved by the effects of anemia. | |||
==Physical Examination== | ==Physical Examination== | ||
=== Appearance of the patient === | === Appearance of the patient === | ||
* Patients with | * Patients with folate deficiency anemia may appear pale, malnourished or underdeveloped. | ||
=== Vital signs === | === Vital signs === | ||
* [[Tachycardia]] | * [[Tachycardia]] | ||
=== HEENT | === HEENT === | ||
* | * Pallor | ||
* Jaundice<ref name="pmid28189172">{{cite journal| author=Green R, Datta Mitra A| title=Megaloblastic Anemias: Nutritional and Other Causes. | journal=Med Clin North Am | year= 2017 | volume= 101 | issue= 2 | pages= 297-317 | pmid=28189172 | doi=10.1016/j.mcna.2016.09.013 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28189172 }}</ref> | |||
* Angular [[stomatitis]] | * Angular [[stomatitis]] | ||
* [[Angular cheilitis|Cheilosis]] | * [[Angular cheilitis|Cheilosis]] | ||
* [[Glossitis]] | * [[Glossitis]] | ||
=== Skin | === Skin === | ||
* Pale skin color ([[pallor]]) | * Pale skin color ([[pallor]]) | ||
* | * Hyperpigmentation | ||
=== Lungs | === Lungs === | ||
* [[Tachypnea]] | * [[Tachypnea]] | ||
* Dyspnea | |||
=== Heart | === Heart === | ||
* [[Tachycardia]] | * [[Tachycardia]] | ||
* Systolic flow [[Heart murmur|murmur]] | * Systolic flow [[Heart murmur|murmur]] | ||
=== | * | ||
* | |||
* | === Neuromuscular === | ||
* Slowly progressive sensory neuropathy, predominantly deep sensory loss, with preservation of bicep tendon reflexes<ref name="pmid25663227">{{cite journal| author=Koike H, Takahashi M, Ohyama K, Hashimoto R, Kawagashira Y, Iijima M et al.| title=Clinicopathologic features of folate-deficiency neuropathy. | journal=Neurology | year= 2015 | volume= 84 | issue= 10 | pages= 1026-33 | pmid=25663227 | doi=10.1212/WNL.0000000000001343 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25663227 }}</ref> | |||
* Neurological deficits or Neural tube defects in neonates | |||
* | |||
* | |||
==References== | ==References== | ||
Latest revision as of 05:50, 3 February 2019
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Folate deficiency Microchapters |
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Folate deficiency physical examination On the Web |
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Risk calculators and risk factors for Folate deficiency physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients with folate deficiency may appear normal in some cases but usually if anemia is moderate or severe, the patient would appear pale,malnourished or underdeveloped. All organ systems can be involved by the effects of anemia.
Physical Examination
Appearance of the patient
- Patients with folate deficiency anemia may appear pale, malnourished or underdeveloped.
Vital signs
HEENT
- Pallor
- Jaundice[1]
- Angular stomatitis
- Cheilosis
- Glossitis
Skin
- Pale skin color (pallor)
- Hyperpigmentation
Lungs
- Tachypnea
- Dyspnea
Heart
- Tachycardia
- Systolic flow murmur
Neuromuscular
- Slowly progressive sensory neuropathy, predominantly deep sensory loss, with preservation of bicep tendon reflexes[2]
- Neurological deficits or Neural tube defects in neonates
References
- ↑ Green R, Datta Mitra A (2017). "Megaloblastic Anemias: Nutritional and Other Causes". Med Clin North Am. 101 (2): 297–317. doi:10.1016/j.mcna.2016.09.013. PMID 28189172.
- ↑ Koike H, Takahashi M, Ohyama K, Hashimoto R, Kawagashira Y, Iijima M; et al. (2015). "Clinicopathologic features of folate-deficiency neuropathy". Neurology. 84 (10): 1026–33. doi:10.1212/WNL.0000000000001343. PMID 25663227.