Acute chest syndrome physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

• Patients commonly have fevers up to 104 degrees Fahrenheit. The patient will likely have tachypnea.

Eyes

• Lipemia retinais can be seen in the patient with fat embolism

Heart

• Tachycardia

Lung

• Rales and dullness to percussion are the most common findings on physical exam.
• 35% of patients have a normal auscultatory exam.
• Patients can also have sternal tenderness.

  • There is little difference in physical findings between patients with Hb SS and Hb SC disease.

Neurologic

• Mental confusion may suggest hyoxia or fat embolization.

References

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