Evans syndrome physical examination

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Physical Examination

Skin

• Jaundice
• Pallor
• Bruises

HEENT

• Icteric sclera
• Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal)
• Purulent exudate from the nares

Neck

• Lymphadenopathy

Abdomen

• Guarding may be present
• Hepatosplenomegaly

Extremities

• Clubbing
• Pitting/non-pitting edema of the upper/lower extremities