Iron deficiency anemia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Iron deficiency anemia}} | {{Iron deficiency anemia}} | ||
{{CMG}}; {{AE}} {{JSS}} | |||
{{CMG}} | |||
==Overview== | ==Overview== | ||
Patients with iron deficiency anemia may appear normal in some cases but usually if [[anemia]] is moderate or severe, the patient would appear [[Pallor|pale]]. All organ systems can be involved by the effects of anemia. | |||
==Physical Examination== | ==Physical Examination== | ||
=== | === Appearance of the patient === | ||
*Blue-tinged or very pale whites of eyes | * Patients with iron deficiency anemia usually appear pale<ref name="pmid25946282">{{cite journal| author=Camaschella C| title=Iron-deficiency anemia. | journal=N Engl J Med | year= 2015 | volume= 372 | issue= 19 | pages= 1832-43 | pmid=25946282 | doi=10.1056/NEJMra1401038 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25946282 }} </ref><ref name="pmid26314490">{{cite journal| author=Lopez A, Cacoub P, Macdougall IC, Peyrin-Biroulet L| title=Iron deficiency anaemia. | journal=Lancet | year= 2016 | volume= 387 | issue= 10021 | pages= 907-16 | pmid=26314490 | doi=10.1016/S0140-6736(15)60865-0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26314490 }} </ref><ref name="pmid22288902">{{cite journal| author=Khadem G, Scott IA, Klein K| title=Evaluation of iron deficiency anaemia in tertiary hospital settings: room for improvement? | journal=Intern Med J | year= 2012 | volume= 42 | issue= 6 | pages= 658-64 | pmid=22288902 | doi=10.1111/j.1445-5994.2012.02724.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22288902 }} </ref><ref name="pmid26637694">{{cite journal| author=Camaschella C| title=Iron deficiency: new insights into diagnosis and treatment. | journal=Hematology Am Soc Hematol Educ Program | year= 2015 | volume= 2015 | issue= | pages= 8-13 | pmid=26637694 | doi=10.1182/asheducation-2015.1.8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26637694 }} </ref>. | ||
=== Vital signs === | |||
* [[Tachycardia]] | |||
===HEENT=== | |||
*Blue-tinged or very pale whites of eyes. | |||
*Angular [[stomatitis]] | |||
*[[Angular cheilitis|Cheilosis]] | |||
*[[Glossitis]] | |||
*[[Alopecia]] | |||
===Skin=== | ===Skin=== | ||
*Pale skin color ([[pallor]]) | *Pale skin color ([[pallor]]) | ||
*Dry and rough skin | |||
=== Lungs === | |||
* [[Tachypnea]] | |||
=== Heart === | |||
* [[Tachycardia]] | |||
* Systolic flow [[Heart murmur|murmur]] | |||
=== Abdomen === | |||
* [[Splenomegaly]] | |||
* Esophageal webs | |||
===Extremities=== | ===Extremities=== | ||
*Brittle nails | *Brittle nails | ||
*[[Koilonychia]](spoon shaped nails) | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Hematology]] | [[Category:Hematology]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category: | [[Category:Endocrinology]] | ||
Latest revision as of 22:26, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jogeet Singh Sekhon, M.D. [2]
Overview
Patients with iron deficiency anemia may appear normal in some cases but usually if anemia is moderate or severe, the patient would appear pale. All organ systems can be involved by the effects of anemia.
Physical Examination
Appearance of the patient
Vital signs
HEENT
- Blue-tinged or very pale whites of eyes.
- Angular stomatitis
- Cheilosis
- Glossitis
- Alopecia
Skin
- Pale skin color (pallor)
- Dry and rough skin
Lungs
Heart
- Tachycardia
- Systolic flow murmur
Abdomen
- Splenomegaly
- Esophageal webs
Extremities
- Brittle nails
- Koilonychia(spoon shaped nails)
References
- ↑ Camaschella C (2015). "Iron-deficiency anemia". N Engl J Med. 372 (19): 1832–43. doi:10.1056/NEJMra1401038. PMID 25946282.
- ↑ Lopez A, Cacoub P, Macdougall IC, Peyrin-Biroulet L (2016). "Iron deficiency anaemia". Lancet. 387 (10021): 907–16. doi:10.1016/S0140-6736(15)60865-0. PMID 26314490.
- ↑ Khadem G, Scott IA, Klein K (2012). "Evaluation of iron deficiency anaemia in tertiary hospital settings: room for improvement?". Intern Med J. 42 (6): 658–64. doi:10.1111/j.1445-5994.2012.02724.x. PMID 22288902.
- ↑ Camaschella C (2015). "Iron deficiency: new insights into diagnosis and treatment". Hematology Am Soc Hematol Educ Program. 2015: 8–13. doi:10.1182/asheducation-2015.1.8. PMID 26637694.