Acute myeloid leukemia physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance=== | ===Appearance=== | ||
The patient may appear pale because of [[anemia]]. | The patient may appear pale because of [[anemia]].<ref name="pmid26137050">{{cite journal| author=Zhang Z, Zou J, Li Y, Liu Z, Xu R, Tian W et al.| title=Clinical characteristics and laboratory analyses of acute myeloid leukemia with t(16;21)(p11;q22). | journal=Oncol Lett | year= 2015 | volume= 9 | issue= 5 | pages= 2244-2248 | pmid=26137050 | doi=10.3892/ol.2015.3051 | pmc=4467340 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26137050 }} </ref> | ||
===Vitals=== | ===Vitals=== | ||
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* [[Hypotension]] | * [[Hypotension]] | ||
===Skin===<ref name="pmid26137050">{{cite journal| author=Zhang Z, Zou J, Li Y, Liu Z, Xu R, Tian W et al.| title=Clinical characteristics and laboratory analyses of acute myeloid leukemia with t(16;21)(p11;q22). | journal=Oncol Lett | year= 2015 | volume= 9 | issue= 5 | pages= 2244-2248 | pmid=26137050 | doi=10.3892/ol.2015.3051 | pmc=4467340 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26137050 }} </ref> | ===Skin=== | ||
* [[Pallor]]<ref name="pmid26137050">{{cite journal| author=Zhang Z, Zou J, Li Y, Liu Z, Xu R, Tian W et al.| title=Clinical characteristics and laboratory analyses of acute myeloid leukemia with t(16;21)(p11;q22). | journal=Oncol Lett | year= 2015 | volume= 9 | issue= 5 | pages= 2244-2248 | pmid=26137050 | doi=10.3892/ol.2015.3051 | pmc=4467340 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26137050 }} </ref> | |||
* [[Chloroma|Leukemia cutis]] | * [[Chloroma|Leukemia cutis]] | ||
* [[Bruising]] | * [[Bruising]] | ||
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===Neurologic=== | ===Neurologic=== | ||
* Altered mental status if there is central nervous system involvement | * Altered mental status if there is central nervous system involvement<ref name="pmid17924103">{{cite journal| author=Laningham FH, Kun LE, Reddick WE, Ogg RJ, Morris EB, Pui CH| title=Childhood central nervous system leukemia: historical perspectives, current therapy, and acute neurological sequelae. | journal=Neuroradiology | year= 2007 | volume= 49 | issue= 11 | pages= 873-88 | pmid=17924103 | doi=10.1007/s00234-007-0300-7 | pmc=2386669 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17924103 }} </ref> | ||
* Nuchal rigidity if there is leptomeningeal involvement | * Nuchal rigidity if there is leptomeningeal involvement | ||
* Headache if leukostasis is present | * Headache if leukostasis is present | ||
* Blurred vision<ref name="pmid27668104">{{cite journal| author=Patel SA| title=Acute Myeloid Leukemia Relapse Presenting as Complete Monocular Vision Loss due to Optic Nerve Involvement. | journal=Case Rep Hematol | year= 2016 | volume= 2016 | issue= | pages= 3794284 | pmid=27668104 | doi=10.1155/2016/3794284 | pmc=5030445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27668104 }} </ref> | |||
==References== | ==References== | ||
Revision as of 16:54, 31 October 2018
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Acute myeloid leukemia Microchapters |
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Acute myeloid leukemia physical examination On the Web |
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American Roentgen Ray Society Images of Acute myeloid leukemia physical examination |
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Risk calculators and risk factors for Acute myeloid leukemia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Carlos A Lopez, M.D. [3] Shyam Patel [4]
Overview
Common physical examination findings of acute myeloid leukemia include anemia, fever, pallor, Leukemia cutis, bruising, petechiae, ecchymosis and tachycardia.
Physical Examination
Appearance
The patient may appear pale because of anemia.[1]
Vitals
Skin
- Pallor[1]
- Leukemia cutis
- Bruising
- Petechiae (flat, pin-head sized spots under the skin caused by bleeding)
- Ecchymosis
Head
- Lymphadenopathy
- Bleeding and swollen gums
Nose
Heart
- Flow murmurs due to anemia
Abdomen
- Splenomegaly
- Hepatomegaly
- Flank hemorrhage
- Gastrointestinal bleeding
Extremities
- Bone tenderness
- Joint tenderness
Neurologic
- Altered mental status if there is central nervous system involvement[2]
- Nuchal rigidity if there is leptomeningeal involvement
- Headache if leukostasis is present
- Blurred vision[3]
References
- ↑ 1.0 1.1 Zhang Z, Zou J, Li Y, Liu Z, Xu R, Tian W; et al. (2015). "Clinical characteristics and laboratory analyses of acute myeloid leukemia with t(16;21)(p11;q22)". Oncol Lett. 9 (5): 2244–2248. doi:10.3892/ol.2015.3051. PMC 4467340. PMID 26137050.
- ↑ Laningham FH, Kun LE, Reddick WE, Ogg RJ, Morris EB, Pui CH (2007). "Childhood central nervous system leukemia: historical perspectives, current therapy, and acute neurological sequelae". Neuroradiology. 49 (11): 873–88. doi:10.1007/s00234-007-0300-7. PMC 2386669. PMID 17924103.
- ↑ Patel SA (2016). "Acute Myeloid Leukemia Relapse Presenting as Complete Monocular Vision Loss due to Optic Nerve Involvement". Case Rep Hematol. 2016: 3794284. doi:10.1155/2016/3794284. PMC 5030445. PMID 27668104.