Evans syndrome physical examination

Evans syndrome Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

Patients with Evans syndrome usually appear normal. Physical examination of patients with Evans syndrome is usually remarkable for jaundice, hepatosplenomegaly, and lymphadenopathy.

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