Angiodysplasia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nikita Singh, M.B.B.S.[2]

Overview

On physical examination, signs of iron deficiency anemia can be found in patients with occult bleeding. In addition, a systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.

Physical Examination

On physical examination, signs of iron deficiency anemia can be found in patients with occult bleeding like:

Appearance of the Patient

• Clinical presentation of a patient with angiodysplasia varies according to blood loss.
• Patients with chronic, occult blood loss may appear pale, tired, depressed, and lethargic.

Skin

• Skin changes like rough or dry skin may be seen.
• Nail changes like koilonychia may be present
• Hair loss (rare)

HEENT

• Conjunctival pallor, atrophic glossitis, cheilosis may be seen

Lungs

• Pulmonary examination of patients with angiodysplasia is usually normal.

Heart

• A systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.

Abdomen/Pelvis

• Abdominal examination of patients with angiodysplasia is usually normal. In some cases, however, a lower abdominal/pelvic mass may be the only clue for the diagnosis.

Genitourinary

• Genitourinary examination of patients with angiodysplasia is usually normal.

Neuromuscular

• Neuromuscular examination of patients with angiodysplasia is usually normal.