Polycythemia vera physical examination: Difference between revisions
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Common physical examination findings associated with polycythemia vera include:<ref name="cancer.ca">Canadian Cancer Society.2015.http://www.cancer.ca/en/cancer-information/cancer-type/leukemia/leukemia/polycythemia-vera/?region=ab</ref><ref name="pmid22211080">{{cite journal| author=Dust N, Daboval T, Guerra L| title=Evaluation and management of priapism in a newborn: A case report and review of the literature. | journal=Paediatr Child Health | year= 2011 | volume= 16 | issue= 1 | pages= e6-8 | pmid=22211080 | doi= | pmc=PMC3043029 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22211080 }} </ref> | Common physical examination findings associated with polycythemia vera include:<ref name="cancer.ca">Canadian Cancer Society.2015.http://www.cancer.ca/en/cancer-information/cancer-type/leukemia/leukemia/polycythemia-vera/?region=ab</ref><ref name="pmid22211080">{{cite journal| author=Dust N, Daboval T, Guerra L| title=Evaluation and management of priapism in a newborn: A case report and review of the literature. | journal=Paediatr Child Health | year= 2011 | volume= 16 | issue= 1 | pages= e6-8 | pmid=22211080 | doi= | pmc=PMC3043029 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22211080 }} </ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients | *Patients with polycythemia vera usually have a ruddy, plethoric complexion. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Fever]] | *[[Fever]] |
Revision as of 01:37, 6 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]; Shyam Patel [3]
Overview
Patients with polycythemia vera are usually well-appearing. Physical examination of patients with polycythemia vera is usually remarkable for skin bruising, fever, and splenomegaly.
Physical Examination
Common physical examination findings associated with polycythemia vera include:[1][2]
Appearance of the Patient
- Patients with polycythemia vera usually have a ruddy, plethoric complexion.
Vital Signs
Skin
- Bruises
- Petechiae
- Ulcers
- Plethora in face
- Gouty nodules
- Post-phlebitis syndrome if deep vein thrombosis develops
- Erythema in extremities
HEENT
- Decreased vision acuity
- Numbness of weakness from cerebrovascular event
Neck
Lungs
- Vesicular breath sounds
- Wheezing
Abdomen
- Splenomegaly: The spleen size can expand to greater than 20 cm. The etiology for splenomegaly is extramedullary hematopoiesis.
Genitourinary
References
- ↑ Canadian Cancer Society.2015.http://www.cancer.ca/en/cancer-information/cancer-type/leukemia/leukemia/polycythemia-vera/?region=ab
- ↑ Dust N, Daboval T, Guerra L (2011). "Evaluation and management of priapism in a newborn: A case report and review of the literature". Paediatr Child Health. 16 (1): e6–8. PMC 3043029. PMID 22211080.