Essential thrombocytosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with essential thrombocytosis are usually well appearing. Physical examination of patients with essential thrombocytosis is usually remarkable for [[splenomegaly]]. | |||
==Physical examination== | ==Physical examination== | ||
Patients with essential thrombocytosis are usually well appearing. Physical examination of patients with essential thrombocytosis is usually remarkable for [[splenomegaly]], as a result of sequestration with the dysfunctional platelets. [[Erythromelalgia]]<ref>Erythromelalgia. Wikipedia. https://en.wikipedia.org/wiki/Erythromelalgia. Accessed on November 6th,2015.</ref> which is an episodic pain disorder caused by the occlusion of blood vessels in the extremities resulting in redness, intense burning pain and warmth in the affected area, is seen in some patients. When present, following other signs may be seen on examination: | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients are usually well-appearing | *Patients are usually well-appearing | ||
===Vital signs=== | ===Vital signs=== | ||
*Low grade fever may be present | *Low grade fever may be present | ||
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*Decreased visual acuity<ref name="pmid9263353">{{cite journal| author=Koudstaal PJ, Koudstaal A| title=Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin. | journal=Semin Thromb Hemost | year= 1997 | volume= 23 | issue= 4 | pages= 365-70 | pmid=9263353 | doi=10.1055/s-2007-996110 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9263353 }} </ref> | *Decreased visual acuity<ref name="pmid9263353">{{cite journal| author=Koudstaal PJ, Koudstaal A| title=Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin. | journal=Semin Thromb Hemost | year= 1997 | volume= 23 | issue= 4 | pages= 365-70 | pmid=9263353 | doi=10.1055/s-2007-996110 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9263353 }} </ref> | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Splenomegaly]] | *[[Splenomegaly]], as a result of sequestration with the dysfunctional platelets | ||
===Genitourinary=== | ===Genitourinary=== | ||
*[[Priapism]] | *[[Priapism] | ||
==Extremities== | |||
*Redness, tenderness and warmth of hands and feet ([[Erythromelalgia]])<ref>Erythromelalgia. Wikipedia. https://en.wikipedia.org/wiki/Erythromelalgia. Accessed on November 6th,2015.</ref> caused by the occlusion of blood vessels in the extremities | |||
==References== | ==References== | ||
Revision as of 14:26, 17 November 2015
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Essential thrombocytosis Microchapters |
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Differentiating Essential thrombocytosis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
Patients with essential thrombocytosis are usually well appearing. Physical examination of patients with essential thrombocytosis is usually remarkable for splenomegaly.
Physical examination
Patients with essential thrombocytosis are usually well appearing. Physical examination of patients with essential thrombocytosis is usually remarkable for splenomegaly, as a result of sequestration with the dysfunctional platelets. Erythromelalgia[1] which is an episodic pain disorder caused by the occlusion of blood vessels in the extremities resulting in redness, intense burning pain and warmth in the affected area, is seen in some patients. When present, following other signs may be seen on examination:
Appearance of the Patient
- Patients are usually well-appearing
Vital signs
- Low grade fever may be present
Skin
- Bruises
HEENT
- Decreased visual acuity[2]
Abdomen
- Splenomegaly, as a result of sequestration with the dysfunctional platelets
Genitourinary
- [[Priapism]
Extremities
- Redness, tenderness and warmth of hands and feet (Erythromelalgia)[3] caused by the occlusion of blood vessels in the extremities
References
- ↑ Erythromelalgia. Wikipedia. https://en.wikipedia.org/wiki/Erythromelalgia. Accessed on November 6th,2015.
- ↑ Koudstaal PJ, Koudstaal A (1997). "Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin". Semin Thromb Hemost. 23 (4): 365–70. doi:10.1055/s-2007-996110. PMID 9263353.
- ↑ Erythromelalgia. Wikipedia. https://en.wikipedia.org/wiki/Erythromelalgia. Accessed on November 6th,2015.