Disseminated intravascular coagulation physical examination

Disseminated intravascular coagulation Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omer Kamal, M.D.[2]

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

Physical examination of patients with DIC is usually remarkable for the following:

Hemtological:

• Signs of spontaneous and life-threatening hemorrhage
• Signs of subacute bleeding
• Signs of diffuse or localized thrombosis
• Bleeding into serous cavities

Nervous:

• Nonspecific altered consciousness or stupor
• Transient focal neurologic deficits

Cardiovascular:

• Hypotension
• Tachycardia
• Circulatory collapse

Respiratory:

• Pleural friction rub
• Signs of acute respiratory distress syndrome (ARDS)

Gastrointestinal:

• Hematemesis
• Hematochezia

Genitourinary:

• Signs of azotemia and renal failure
• Acidosis
• Hematuria
• Oliguria
• Metrorrhagia
• Uterine hemorrhage

Skin:

• Petechiae
• Jaundice (liver dysfunction or hemolysis)
• Purpura
• Hemorrhagic bullae
• Acral cyanosis
• Skin necrosis of lower limbs (purpura fulminans)
• Localized infarction and gangrene
• Wound bleeding and deep subcutaneous hematomas
• Thrombosis

References

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