Aplastic anemia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Shyam Patel [2] Associate Editor(s)-in-Chief: Nazia Fuad M.D.
Overview
Common physical examination findings of aplastic anemia include pale color, short stature, dyspnea, petechiae, purpura, ecchymoses, jaundice, pallor, and bruises. Patients can present with oral leukoplakia, pharyngeal ulcers, necrotizing gingivitis, and tonsillitis.
Physical Examination
Appearance of the Patient
Vital Signs
- Fever
- Tachycardia with regular pulse
- Bradypnea
Skin
HEENT
- Icteric sclera
- Nystagmus
- Microcephaly
- Microphthalmos
- Oral leukoplakia
- Pharyngeal ulcers.
- Necrotizing gingivitis
- Tonsillitis
Neck
- Neck examination of patients with aplastic anemia is usually normal.
Lungs
- Pulmonary examination of patients with aplastic anemia is usually normal unless patients develop pneumonia.
- Asymmetric chest expansion
- Hyperresonance
- Coarse crackles
- Rhonchi
- Decreased breath sounds
- Tachypnea
- Reduced tactile fremitus
Heart
- Arrythmias
- Murmur
- Chest pain
Abdomen
Back
- Back examination of patients with aplastic anemia is usually normal.
Genitourinary
Neuromuscular
- Neuromuscular examination of patients with aplastic anemia is usually normal.