Glucose-6-phosphate dehydrogenase deficiency physical examination: Difference between revisions
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{{Glucose-6-phosphate dehydrogenase deficiency}} | {{Glucose-6-phosphate dehydrogenase deficiency}} | ||
{{CMG}}; {{AE}}{{MA}} | {{CMG}} {{shyam}}; {{AE}}{{MA}} | ||
==Overview== | ==Overview== | ||
Patients with | Patients with G6PD deficiency usually appear normal. Physical examination of patients with G6PD deficiency is usually remarkable for jaundice in hemolysis and [[abdominal tenderness]] in the right upper abdominal quadrant because of hyperbilirubinemia. | ||
==Physical Examination== | ==Physical Examination== | ||
| Line 28: | Line 15: | ||
*[[Tachycardia]] in acute hemolysis | *[[Tachycardia]] in acute hemolysis | ||
*[[Tachypnea]] due to anemia | |||
===Skin=== | ===Skin=== | ||
*Jaundice in hemolysis <ref name="pmid29298156">{{cite journal |vauthors=Luzzatto L, Arese P |title=Favism and Glucose-6-Phosphate Dehydrogenase Deficiency |journal=N. Engl. J. Med. |volume=378 |issue=1 |pages=60–71 |date=January 2018 |pmid=29298156 |doi= |url=}}</ref> | *Jaundice in hemolysis <ref name="pmid29298156">{{cite journal |vauthors=Luzzatto L, Arese P |title=Favism and Glucose-6-Phosphate Dehydrogenase Deficiency |journal=N. Engl. J. Med. |volume=378 |issue=1 |pages=60–71 |date=January 2018 |pmid=29298156 |doi= |url=}}</ref> | ||
*Pallor | |||
===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with G6PD deficiency is usually normal | * HEENT examination of patients with G6PD deficiency is usually normal | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with G6PD deficiency is usually normal | * Neck examination of patients with G6PD deficiency is usually normal | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with G6PD deficiency is usually normal | * Pulmonary examination of patients with G6PD deficiency is usually normal | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with G6PD deficiency is usually normal | * Cardiovascular examination of patients with G6PD deficiency is usually normal | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] | *[[Abdominal distention]] | ||
*[[Abdominal tenderness]] in the right upper abdominal quadrant because of hyperbilirubinemia and cholelithiasis<ref name="pmid23801924">{{cite journal |vauthors=Arese P, Gallo V, Pantaleo A, Turrini F |title=Life and Death of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficient Erythrocytes - Role of Redox Stress and Band 3 Modifications |journal=Transfus Med Hemother |volume=39 |issue=5 |pages=328–34 |date=October 2012 |pmid=23801924 |pmc=3678266 |doi=10.1159/000343123 |url=}}</ref> | *[[Abdominal tenderness]] in the right upper abdominal quadrant because of hyperbilirubinemia and cholelithiasis<ref name="pmid23801924">{{cite journal |vauthors=Arese P, Gallo V, Pantaleo A, Turrini F |title=Life and Death of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficient Erythrocytes - Role of Redox Stress and Band 3 Modifications |journal=Transfus Med Hemother |volume=39 |issue=5 |pages=328–34 |date=October 2012 |pmid=23801924 |pmc=3678266 |doi=10.1159/000343123 |url=}}</ref> | ||
*Splenomegaly maybe in severe hemolysis | *Splenomegaly maybe in severe hemolysis | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Dark urine | * Dark urine | ||
* Genitourinary examination of patients with G6PD deficiency is usually normal | |||
* Genitourinary examination of patients with G6PD deficiency is usually normal | |||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with G6PD deficiency is usually normal | * Neuromuscular examination of patients with G6PD deficiency is usually normal | ||
===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with G6PD deficiency is usually normal | * Extremities examination of patients with G6PD deficiency is usually normal | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 23:24, 19 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: Mahda Alihashemi M.D. [3]
Overview
Patients with G6PD deficiency usually appear normal. Physical examination of patients with G6PD deficiency is usually remarkable for jaundice in hemolysis and abdominal tenderness in the right upper abdominal quadrant because of hyperbilirubinemia.
Physical Examination
Physical examination of patients with G6PD deficiency is usually normal.
Appearance of the Patient
- Patients with G6PD deficiency usually appear normal.
Vital Signs
- Tachycardia in acute hemolysis
- Tachypnea due to anemia
Skin
- Jaundice in hemolysis [1]
- Pallor
HEENT
- HEENT examination of patients with G6PD deficiency is usually normal
Neck
- Neck examination of patients with G6PD deficiency is usually normal
Lungs
- Pulmonary examination of patients with G6PD deficiency is usually normal
Heart
- Cardiovascular examination of patients with G6PD deficiency is usually normal
Abdomen
- Abdominal distention
- Abdominal tenderness in the right upper abdominal quadrant because of hyperbilirubinemia and cholelithiasis[2]
- Splenomegaly maybe in severe hemolysis
Genitourinary
- Dark urine
- Genitourinary examination of patients with G6PD deficiency is usually normal
Neuromuscular
- Neuromuscular examination of patients with G6PD deficiency is usually normal
Extremities
- Extremities examination of patients with G6PD deficiency is usually normal
References
- ↑ Luzzatto L, Arese P (January 2018). "Favism and Glucose-6-Phosphate Dehydrogenase Deficiency". N. Engl. J. Med. 378 (1): 60–71. PMID 29298156.
- ↑ Arese P, Gallo V, Pantaleo A, Turrini F (October 2012). "Life and Death of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficient Erythrocytes - Role of Redox Stress and Band 3 Modifications". Transfus Med Hemother. 39 (5): 328–34. doi:10.1159/000343123. PMC 3678266. PMID 23801924.