Polycythemia vera physical examination: Difference between revisions
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===HEENT=== | ===HEENT=== | ||
*Decreased vision acuity | *Decreased vision acuity | ||
*Numbness or weakness from cerebrovascular event | *[[Numbness]] or weakness from [[cerebrovascular event]] | ||
*Conjunctival plethora | *Conjunctival plethora | ||
*Engorged retinal veins | *Engorged retinal veins | ||
Revision as of 15:27, 11 January 2019
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Polycythemia vera Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Polycythemia vera physical examination On the Web |
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American Roentgen Ray Society Images of Polycythemia vera physical examination |
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Risk calculators and risk factors for Polycythemia vera physical examination |
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][3]
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 or weakness from cerebrovascular event
- Conjunctival plethora
- Engorged retinal veins
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
Extremities
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.
- ↑ Stein BL, Oh ST, Berenzon D, Hobbs GS, Kremyanskaya M, Rampal RK, Abboud CN, Adler K, Heaney ML, Jabbour EJ, Komrokji RS, Moliterno AR, Ritchie EK, Rice L, Mascarenhas J, Hoffman R (November 2015). "Polycythemia Vera: An Appraisal of the Biology and Management 10 Years After the Discovery of JAK2 V617F". J. Clin. Oncol. 33 (33): 3953–60. doi:10.1200/JCO.2015.61.6474. PMC 4979103. PMID 26324368.