Iron deficiency anemia physical examination

Iron deficiency anemia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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Overview

Patients with iron deficiency anemia may appear normal in some cases but usually if anemia is moderate or severe, the patient would appear pale. All organ systems can be involved by the effects of anemia.

Physical Examination

Appearance of the patient

• Patients with iron deficiency anemia usually appear pale.

Vital signs

• Tachycardia

HEENT

• Blue-tinged or very pale whites of eyes.
• Angular stomatitis
• Cheilosis
• Glossitis
• Alopecia

Skin

• Pale skin color (pallor)
• Dry and rough skin

Lungs

• Tachypnea

Heart

• Tachycardia
• Systolic flow murmur

Abdomen

• Splenomegaly
• Esophageal webs

Extremities

• Brittle nails
• Koilonychia(spoon shaped nails)