Essential thrombocytosis physical examination
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Essential thrombocytosis Microchapters |
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Differentiating Essential thrombocytosis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
The physical examination usually has no remarkable signs. In few patients though, enlarged spleen (splenomegaly) may be found on examination which is a result of sequestration with the dysfunctional platelets. Erythromelalgia[1] which is an episodic pain disorder caused by the occlusion of blood vessels in the extremities resulting in redness, intense burning pain and warmth in the affected area, occurs in some patients. Other signs that may be seen on examination include fever, decreased visual acuity, bruises and priapism.
Physical examination
The physical examination usually has no remarkable signs. When present, following signs may be seen on examination:
Appearance of the Patient
- Patients are usually well-appearing.
Vital signs
- Low grade fever may be present
Skin
- Bruises
HEENT
- Decreased visual acuity[2]
Abdomen
Genitourinary
References
- ↑ Erythromelalgia. Wikipedia. https://en.wikipedia.org/wiki/Erythromelalgia. Accessed on November 6th,2015.
- ↑ Koudstaal PJ, Koudstaal A (1997). "Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin". Semin Thromb Hemost. 23 (4): 365–70. doi:10.1055/s-2007-996110. PMID 9263353.