Angiodysplasia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
On [[physical examination]], [[signs]] of [[Iron deficiency anemia physical examination|iron deficiency anemia]] | On [[physical examination]], [[signs]] of [[Iron deficiency anemia physical examination|iron deficiency anemia]] can be found in patients with occult bleeding. A [[systolic ejection murmur]] can be heard if angiodysplasia is associated with [[aortic stenosis]]. | ||
==Physical Examination== | ==Physical Examination== | ||
On [[physical examination]], [[Signs]] of [[Iron deficiency anemia physical examination|iron deficiency anemia]]<ref name="pmid26408108">{{cite journal| author=Auerbach M, Adamson JW| title=How we diagnose and treat iron deficiency anemia. | journal=Am J Hematol | year= 2016 | volume= 91 | issue= 1 | pages= 31-8 | pmid=26408108 | doi=10.1002/ajh.24201 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26408108 }}</ref> can be found in patients with occult bleeding like: | |||
=== Appearance of the Patient === | |||
* Clinical presentation of a patient with angiodysplasia varies according to blood loss. | |||
* Patients with chronic, occult blood loss may appear to be pale, tired, depressed and lethargic. | |||
* | |||
* | === Skin === | ||
*A [[systolic ejection murmur]] can be heard if angiodysplasia is associated with [[aortic stenosis]]. | |||
* Skin changes like rough or dry skin may be seen. | |||
* Nail changes like koilonychia may be present | |||
* Hair loss (rare) | |||
=== HEENT === | |||
* Conjunctival pallor, atrophic glossitis,<ref name="pmid10555095">{{cite journal| author=Osaki T, Ueta E, Arisawa K, Kitamura Y, Matsugi N| title=The pathophysiology of glossal pain in patients with iron deficiency and anemia. | journal=Am J Med Sci | year= 1999 | volume= 318 | issue= 5 | pages= 324-9 | pmid=10555095 | doi=10.1097/00000441-199911000-00007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10555095 }}</ref> cheilosis may be seen | |||
=== Lungs === | |||
* Pulmonary examination of patients with angiodysplasia is usually normal. | |||
=== Heart === | |||
* A [[systolic ejection murmur]] can be heard if angiodysplasia is associated with [[aortic stenosis]]. | |||
=== Abdomen/Pelvis === | |||
* Abdominal examination of patients with angiodysplasia is usually normal. In some cases, however, a lower abdominal/pelvic mass may be the only clue for the diagnosis. | |||
=== Genitourinary === | |||
* Genitourinary examination of patients with angiodysplasia is usually normal. | |||
=== Neuromuscular === | |||
* Neuromuscular examination of patients with angiodysplasia is usually normal. | |||
* | |||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nikita Singh, M.D.[2] Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.
Overview
On physical examination, signs of iron deficiency anemia can be found in patients with occult bleeding. A systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.
Physical Examination
On physical examination, Signs of iron deficiency anemia[1] can be found in patients with occult bleeding like:
Appearance of the Patient
- Clinical presentation of a patient with angiodysplasia varies according to blood loss.
- Patients with chronic, occult blood loss may appear to be pale, tired, depressed and lethargic.
Skin
- Skin changes like rough or dry skin may be seen.
- Nail changes like koilonychia may be present
- Hair loss (rare)
HEENT
- Conjunctival pallor, atrophic glossitis,[2] cheilosis may be seen
Lungs
- Pulmonary examination of patients with angiodysplasia is usually normal.
Heart
- A systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.
Abdomen/Pelvis
- Abdominal examination of patients with angiodysplasia is usually normal. In some cases, however, a lower abdominal/pelvic mass may be the only clue for the diagnosis.
Genitourinary
- Genitourinary examination of patients with angiodysplasia is usually normal.
Neuromuscular
- Neuromuscular examination of patients with angiodysplasia is usually normal.
References
- ↑ Auerbach M, Adamson JW (2016). "How we diagnose and treat iron deficiency anemia". Am J Hematol. 91 (1): 31–8. doi:10.1002/ajh.24201. PMID 26408108.
- ↑ Osaki T, Ueta E, Arisawa K, Kitamura Y, Matsugi N (1999). "The pathophysiology of glossal pain in patients with iron deficiency and anemia". Am J Med Sci. 318 (5): 324–9. doi:10.1097/00000441-199911000-00007. PMID 10555095.