Glanzmann's thrombasthenia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with | Patients with [[Glanzmann's thrombasthenia]] may be [[asymptomatic]], or they could manifest [[mucosal bleeding]], [[ecchymoses]], [[petechiae]] and [[purpura]] or current [[bleeding]] on [[physical exam]]. | ||
==Physical examination== | ==Physical examination== | ||
=== Appearance of the Patient === | === Appearance of the Patient === | ||
* Patient appears well in the absence of severe hemorrhage | * Patient appears well in the absence of severe [[hemorrhage]] | ||
* Patient appears ill in the persistent bleeding . | * Patient appears ill in the persistent [[bleeding]]. | ||
=== Vital Signs === | === Vital Signs === | ||
* | * May have[[Tachycardia]], depends on the severity of the [[bleeding]] | ||
* | * May have[[Tachypnea]] depends on severity of the [[bleeding]] | ||
=== Skin === | === Skin === | ||
| Line 26: | Line 26: | ||
=== HEENT === | === HEENT === | ||
* Evidence of trauma | * Evidence of [[trauma]] | ||
* | * Pale [[conjunctiva]] | ||
* [[Epistaxis]] | * [[Epistaxis]] | ||
* | * Palatal [[petechiae]] | ||
* | * [[Gingival]] or other [[oral cavity]] [[bleeding]] | ||
=== Neck === | === Neck === | ||
No specific | No specific signs | ||
=== Lungs === | === Lungs === | ||
* | * Commonly normal [[lung]] sounds | ||
=== Heart === | === Heart === | ||
* | * Commonly normal [[heart]] sounds | ||
=== Abdomen === | === Abdomen === | ||
The spleen is usually non palpable | The [[spleen]] is usually non palpable | ||
=== 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 | * Glasgow coma scale is normally 15 / 15 but may may present loss of [[consciousness]] in severe fatal [[hemorrhage]] episodes <ref name="pmid16722529">{{cite journal| author=Nurden AT| title=Glanzmann thrombasthenia. | journal=Orphanet J Rare Dis | year= 2006 | volume= 1 | issue= | pages= 10 | pmid=16722529 | doi=10.1186/1750-1172-1-10 | pmc=1475837 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16722529 }}</ref> | ||
===Gallery=== | ===Gallery=== | ||
Revision as of 17:42, 10 December 2018
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Glanzmann's thrombasthenia |
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Differentiating Glanzmann's thrombasthenia from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Glanzmann's thrombasthenia physical examination On the Web |
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American Roentgen Ray Society Images of Glanzmann's thrombasthenia physical examination |
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Risk calculators and risk factors for Glanzmann's thrombasthenia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Omer Kamal, M.D.[2], Niyousha Danesh, MD-MPH
Overview
Patients with Glanzmann's thrombasthenia may be asymptomatic, or they could manifest mucosal bleeding, ecchymoses, petechiae and purpura or current bleeding on physical exam.
Physical examination
Appearance of the Patient
- Patient appears well in the absence of severe hemorrhage
- Patient appears ill in the persistent bleeding.
Vital Signs
- May haveTachycardia, depends on the severity of the bleeding
- May haveTachypnea depends on severity of the bleeding
Skin
- Cyanosis
- Pallor
- Secondary to anemia
- Ecchymoses,petechiae and purpura
- Secondary to thrombocytopenia
HEENT
- Evidence of trauma
- Pale conjunctiva
- Epistaxis
- Palatal petechiae
- Gingival or other oral cavity bleeding
Neck
No specific signs
Lungs
- Commonly normal lung sounds
Heart
- Commonly normal heart sounds
Abdomen
The spleen is usually non palpable
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]
Gallery
Extremities
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/a/a7/Glanzmann%27s_trombastenia_01.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/3/3b/Glanzmann%27s_trombastenia_02.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/3/3a/Glanzmann%27s_trombastenia_03.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/1/16/Glanzmann%27s_trombastenia_04.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/9/90/Glanzmann%27s_trombastenia_05.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/5/57/Glanzmann%27s_trombastenia_06.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/e/eb/Glanzmann%27s_trombastenia_07.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
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![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/images/7/74/Glanzmann%27s_trombastenia_08.jpeg)
Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_01.jpeg)
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_02.jpeg)
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_03.jpeg)
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_04.jpeg)
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_05.jpeg)
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_06.jpeg)
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_07.jpeg)
![Glanzmann’s trombastenia. With permission from Dermatology Atlas.[2]](/index.php/File:Glanzmann%27s_trombastenia_08.jpeg)