Hemophilia physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 20: | Line 20: | ||
*Bruises<ref name="pmid30129541">{{cite journal |vauthors=Sachdeva A, Gunasekaran V, Ramya HN, Dass J, Kotwal J, Seth T, Das S, Garg K, Kalra M, Sirisha RS, Prakash A |title=Consensus Statement of the Indian Academy of Pediatrics in Diagnosis and Management of Hemophilia |journal=Indian Pediatr |volume=55 |issue=7 |pages=582–590 |date=July 2018 |pmid=30129541 |doi= |url=}}</ref> | *Bruises<ref name="pmid30129541">{{cite journal |vauthors=Sachdeva A, Gunasekaran V, Ramya HN, Dass J, Kotwal J, Seth T, Das S, Garg K, Kalra M, Sirisha RS, Prakash A |title=Consensus Statement of the Indian Academy of Pediatrics in Diagnosis and Management of Hemophilia |journal=Indian Pediatr |volume=55 |issue=7 |pages=582–590 |date=July 2018 |pmid=30129541 |doi= |url=}}</ref> | ||
===HEENT=== | ===HEENT=== | ||
HEENT examination of patients with hemophilia is usually normal. | *HEENT examination of patients with hemophilia is usually normal. | ||
*Findings related to the complications may include: | |||
:*Pupillary changes<ref name="pmid22385799">{{cite journal |vauthors=Peltier J, Baroncini M, Thines L, Leteurtre S, Marey A, Vinchon M |title=[Haemophilia A and intracranial bleedings in infants] |language=French |journal=Neurochirurgie |volume=58 |issue=1 |pages=19–24 |date=February 2012 |pmid=22385799 |doi=10.1016/j.neuchi.2012.01.003 |url=}}</ref> | |||
===Neck=== | ===Neck=== | ||
*Swelling<ref name="pmid14414970">{{cite journal |vauthors=LEATHERDALE RA |title=Respiratory obstruction in haemophilic patients |journal=Br Med J |volume=1 |issue=5182 |pages=1316–20 |date=April 1960 |pmid=14414970 |pmc=1967523 |doi= |url=}}</ref> | *Swelling<ref name="pmid14414970">{{cite journal |vauthors=LEATHERDALE RA |title=Respiratory obstruction in haemophilic patients |journal=Br Med J |volume=1 |issue=5182 |pages=1316–20 |date=April 1960 |pmid=14414970 |pmc=1967523 |doi= |url=}}</ref> | ||
Revision as of 18:26, 21 January 2019
|
Hemophilia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hemophilia physical examination On the Web |
|
American Roentgen Ray Society Images of Hemophilia physical examination |
|
Risk calculators and risk factors for Hemophilia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Patients with hemophilia usually appear normal. Physical examination of patients with hemophilia is usually remarkable for tachycardia, pallor, hypotension, and muscle or joint swelling.
Physical Examination
Physical examination of patients with hemophilia is usually remarkable for tachycardia, pallor, hypotension, and muscle or joint swelling.[1][2][3][4][5]
Appearance of the Patient
Patients with hemophilia usually appear normal.
Vital Signs
- Tachycardia[1][6]
- Hypothermia[7]
- Hypotension[1]
Skin
HEENT
- HEENT examination of patients with hemophilia is usually normal.
- Findings related to the complications may include:
- Pupillary changes[7]
Neck
Lungs
Pulmonary examination of patients with hemophilia is usually normal.
References
- ↑ 1.0 1.1 1.2 Pham TV, Sorenson CA, Nable JV (February 2014). "Acquired factor VIII deficiency presenting with compartment syndrome". Am J Emerg Med. 32 (2): 195.e1–2. doi:10.1016/j.ajem.2013.09.022. PMID 24176587.
- ↑ De la Corte-Rodriguez H, Rodriguez-Merchan EC (December 2014). "Treatment of muscle haematomas in haemophiliacs with special emphasis on percutaneous drainage". Blood Coagul. Fibrinolysis. 25 (8): 787–94. doi:10.1097/MBC.0000000000000159. PMID 24914744.
- ↑ Peterson, Lars (2001). Sports injuries : their prevention and treatment. London: Martin Dunitz. ISBN 0203419561.
- ↑ Tsuyama N, Ichiba T, Naito H (2016). "Unusual Initial Manifestation of Acquired Hemophilia A: A Normal Activated Partial Thromboplastin Time, Intramuscular Hematoma and Cerebral Hemorrhage". Intern. Med. 55 (22): 3347–3349. doi:10.2169/internalmedicine.55.7219. PMC 5173506. PMID 27853081.
- ↑ Pitcher, G. J.; Bowley, D. M. G.; Chasumba, G.; Zuckerman, M. (2002). "Life-threatening haemorrhage from a gastric Dieulafoy lesion in a child with haemophilia". Haemophilia. 8 (5): 719–720. doi:10.1046/j.1365-2516.2002.00675.x. ISSN 1351-8216.
- ↑ DeWitt ES, DiMichele DM, Larsen K, Pass RH (July 2010). "Successful cryoablation of atrioventricular nodal reentrant tachycardia in a child with hemophilia A". J. Pediatr. Hematol. Oncol. 32 (5): 404–6. doi:10.1097/MPH.0b013e3181e0040d. PMID 20505535.
- ↑ 7.0 7.1 Peltier J, Baroncini M, Thines L, Leteurtre S, Marey A, Vinchon M (February 2012). "[Haemophilia A and intracranial bleedings in infants]". Neurochirurgie (in French). 58 (1): 19–24. doi:10.1016/j.neuchi.2012.01.003. PMID 22385799.
- ↑ Franchini, Massimo; Mannucci, Pier Mannuccio (2013). "Hemophilia A in the third millennium". Blood Reviews. 27 (4): 179–184. doi:10.1016/j.blre.2013.06.002. ISSN 0268-960X.
- ↑ Shen CY, Fu LS, Lin HK, Han SM, Wang JD (November 2012). "Macrohematuria as initial presentation in a girl with factor VIII and factor IX inhibitors associated with systemic lupus erythematosus". J. Pediatr. Hematol. Oncol. 34 (8): e344–5. doi:10.1097/MPH.0b013e3182678ec1. PMID 23018565.
- ↑ Ries M, Klinge J, Rauch R, Chen C, Deeg KH (1998). "[Spontaneous subdural hematoma in a 18-day-old male newborn infant with severe hemophilia A]". Klin Padiatr (in German). 210 (3): 120–4. doi:10.1055/s-2008-1043862. PMID 9629545.
- ↑ Sachdeva A, Gunasekaran V, Ramya HN, Dass J, Kotwal J, Seth T, Das S, Garg K, Kalra M, Sirisha RS, Prakash A (July 2018). "Consensus Statement of the Indian Academy of Pediatrics in Diagnosis and Management of Hemophilia". Indian Pediatr. 55 (7): 582–590. PMID 30129541.
- ↑ 12.0 12.1 LEATHERDALE RA (April 1960). "Respiratory obstruction in haemophilic patients". Br Med J. 1 (5182): 1316–20. PMC 1967523. PMID 14414970.