Mononucleosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Lakshmi Gopalakrishnan, M.B.B.S. [2]
Overview
Occasionally, patients infected with EBV may also display splenomegaly, with subsequent life-threatening complication of spleenic rupture and/or hepatomegaly.
Physical Examination
Skin:
- Petechial hemorrhage
- Jaundice (~5% of cases)
- Anemia
Eyes:
- Supra-orbital oedema (puffy & swollen eyes) may be observed in the early stages of infection.
Ear Nose and Throat:
- White patches on the tonsils and back of the throat are often seen
- Tender lymphadenopathy is present; particularly, the posterior cervical lymph nodes on both sides of the neck.