Neutropenia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{ Neutropenia }} | {{ Neutropenia }} | ||
{{CMG}} | {{CMG}} {{AE}} {{DG}} | ||
==Overview== | ==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 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== | ==Physical Examination== | ||
A rectal examination should not be performed in a patient with neutropenia.<ref name="PMID21258094">{{cite journal |author=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. |title=Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america|journal=Clin Infect Dis. |volume=52 |issue=4 |pages=e56-95 |year=2011 |pmid=21258094 |doi=|url=http://www.ncbi.nlm.nih.gov/pubmed/21258094}}</ref> | A rectal examination should not be performed in a patient with [[neutropenia]].<ref name="PMID21258094">{{cite journal |author=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. |title=Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america|journal=Clin Infect Dis. |volume=52 |issue=4 |pages=e56-95 |year=2011 |pmid=21258094 |doi=|url=http://www.ncbi.nlm.nih.gov/pubmed/21258094}}</ref> | ||
'''Vital signs''' | |||
*[[Fever]] | |||
*[[Tachycardia]] | |||
*[[Hypotension]] | |||
*[[Tachypnea]] | |||
*[[Hypoxia]] | |||
'''General appearance''' | |||
* Signs of distress | |||
* Localizing sources of pain | |||
*[[Conjunctival]] and [[palatal]] [[pallor]] | *[[Conjunctival]] and [[palatal]] [[pallor]] | ||
*[[Petechiae]] or [[purpura]] | *[[Petechiae]] or [[purpura]] | ||
*[[Mucositis]] or [[oropharyngeal lesions|other oropharyngeal lesions]] | *[[Mucositis]] or [[oropharyngeal lesions|other oropharyngeal lesions]] | ||
*[[Lymphadenopathy]] | *[[Lymphadenopathy]] | ||
'''Neurological exam''' | |||
*Confusion or disorientation | |||
*[[Abdominal pain]] | *Neck stiffness | ||
*[[Splenomegaly]] | *Focal neurological abnormalities | ||
'''Chest''' | |||
* New heart [[murmurs]] | |||
* [[Wheezes]], [[rales]], rhonchorous breath sounds | |||
'''Abdomen''' | |||
*[[Abdominal pain]] | |||
*[[Abdominal distension|distension]] | |||
*[[Hepatomegaly]] or [[Splenomegaly]] | |||
'''Extremities''' | |||
*[[Joint swelling]] or deformity | *[[Joint swelling]] or deformity | ||
* | *Rashes | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 00:39, 17 November 2016
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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.