Polycythemia vera physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]
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.[1][2]
Physical Examination
Common physical examination findings associated with polycythemia vera include:[1][2]
Appearance of the Patient
- Patients are usually well-appearing
- Patients are sometimes ruddy-appearing
Vital Signs
Skin
- Bruises
- Petechiae
- Ulcers
- Plethora
- Gouty nodules
- Post-phlebitis syndrome if deep vein thrombosis develops
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
- ↑ 1.0 1.1 Canadian Cancer Society.2015.http://www.cancer.ca/en/cancer-information/cancer-type/leukemia/leukemia/polycythemia-vera/?region=ab
- ↑ 2.0 2.1 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.