Aplastic anemia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nazia Fuad M.D.

Physical Examination

Appearance of the Patient

• Patients with aplastic anemia usually appear pale.
• Short stature

Vital Signs

• Fever
• Tachycardia with regular pulse
• Bradypnea

Skin

• Petechiae
• Purpura
• Ecchymoses

• Jaundice
• Pallor
• Bruises

HEENT

• Icteric sclera
• Nystagmus
• Microcephaly
• Microphthalmos
• Oral leukoplakia
• Pharyngeal ulcers.
• Necrotizing gingivitis
• Tonsillitis

Neck

• Neck examination of patients with aplastic anemia is usually normal.

Lungs

• Pulmonary examination of patients with aplastic anemia is usually normal unless patients develop pneumonia.

• Asymmetric chest expansion
• Lungs are hyperresonant
• Coarse crackles upon auscultation
• Rhonchi
• Decreased breath sounds
• Tachypnea
• Reduced tactile fremitus

Heart

• Arrythmias
• Murmur
• Chest pain

Abdomen

• Abdominal distention
• Diarrhea

Back

• Back examination of patients with aplastic anemia is usually normal.

Genitourinary

• Hypogonadism

Neuromuscular

• Neuromuscular examination of patients with aplastic anemia is usually normal.