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]; 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
- Fever
- Systolic hypertension
- Diastolic hypertension
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
- 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
- Numbness
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.