Hereditary elliptocytosis physical examination: Difference between revisions
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* {{CMG}} {{AE}} | * {{CMG}} {{AE}} '''[https://www.wikidoc.org/index.php/User:Niush.D?venotify=created Niyousha Danesh M.D., M.P.H]''' | ||
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=== Neuromuscular === | === Neuromuscular === | ||
* Patient is usually oriented to persons, place, and time | * Patient is usually oriented to persons, place, and time | ||
* Glasgow coma scale is normally 15 / 15 but may may present loss of consciousness in severe fatal hemorrhage episodes.<ref name="pmid21251470">{{cite journal| author=Barcellini W, Bianchi P, Fermo E, Imperiali FG, Marcello AP, Vercellati C et al.| title=Hereditary red cell membrane defects: diagnostic and clinical aspects. | journal=Blood Transfus | year= 2011 | volume= 9 | issue= 3 | pages= 274-7 | pmid=21251470 | doi=10.2450/2011.0086-10 | pmc=3136593 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21251470 }}</ref> | * Glasgow coma scale is normally 15 / 15 but may may present loss of consciousness in severe fatal hemorrhage episodes.<ref name="pmid21251470">{{cite journal| author=Barcellini W, Bianchi P, Fermo E, Imperiali FG, Marcello AP, Vercellati C et al.| title=Hereditary red cell membrane defects: diagnostic and clinical aspects. | journal=Blood Transfus | year= 2011 | volume= 9 | issue= 3 | pages= 274-7 | pmid=21251470 | doi=10.2450/2011.0086-10 | pmc=3136593 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21251470 }}</ref><ref name="pmid26377499">{{cite journal| author=Bayhan T, Ünal Ş, Gümrük F| title=Hereditary Elliptocytosis with Pyropoikilocytosis. | journal=Turk J Haematol | year= 2016 | volume= 33 | issue= 1 | pages= 86-7 | pmid=26377499 | doi=10.4274/tjh.2015.0054 | pmc=4805353 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26377499 }}</ref> | ||
==References== | ==References== | ||
Latest revision as of 08:48, 14 October 2018
- Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Niyousha Danesh M.D., M.P.H
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Overview
Physical Examination
Appearance of the Patient
- Patients are usually well-appearing in the absence of severe anemia.
- Patient appears ill in the state of septicemia.
Vital Signs
- may have Tachycardia, depends on the severity of the anemia.
- may have Tachypnea depends on severity of the anemia.
- Patients may have weak pulse
Skin
HEENT
- may have signs of meningitis due to meningococcal infection following splenectomy : neck stiffness (redor) ,fever, headache
- Evidence of trauma
- Pale conjunctiva
- Scleral icterus
Neck
No specific sign.
Lungs
- commonly normal lung sounds.
- May present crackle due to pneumococcal or Haemophilus influenza pneumonia , following splenectomy.
Heart
- commonly normal heart sounds
Abdomen
- Splenomegaly : the spleen can be palpable.
- Abdominal tenderness or fullness in the left upper quadrant following splenomegaly.
- Abdominal tenderness in the right upper quadrant due to biliary colic.
- Murphy's sign that may suggest cholecystitis.
Extremities
- Leg ulcers
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Glasgow coma scale is normally 15 / 15 but may may present loss of consciousness in severe fatal hemorrhage episodes.[1][2]
References
- ↑ Barcellini W, Bianchi P, Fermo E, Imperiali FG, Marcello AP, Vercellati C; et al. (2011). "Hereditary red cell membrane defects: diagnostic and clinical aspects". Blood Transfus. 9 (3): 274–7. doi:10.2450/2011.0086-10. PMC 3136593. PMID 21251470.
- ↑ Bayhan T, Ünal Ş, Gümrük F (2016). "Hereditary Elliptocytosis with Pyropoikilocytosis". Turk J Haematol. 33 (1): 86–7. doi:10.4274/tjh.2015.0054. PMC 4805353. PMID 26377499.