Neutropenia physical examination: Difference between revisions

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{{ Neutropenia }}
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{{CMG}} {{AE}} {{DG}}


==Overview==
==Overview==
Physical examination should focus on identifying any potential signs of infection and is directed by the patients' presenting symptoms. A rectal examination should not be performed in a patient with neutropenia.
Physical examination should focus on identifying any potential signs of [[infection]] and is directed by the patients' presenting symptoms. A rectal examination should not be performed in a patient with [[neutropenia]].


==Physical Examination==
==Physical Examination==
A rectal examination should not be performed in a patient with neutropenia.<ref name="PMID21258094">{{cite journal |author=Freifeld AG, Bow EJ, Sepkowitz KA, Boeckh MJ, Ito JI, Mullen CA, Raad II, Rolston KV, Young JA, Wingard JR; Infectious Diseases Society of America. |title=Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america|journal=Clin Infect Dis. |volume=52 |issue=4 |pages=e56-95 |year=2011 |pmid=21258094 |doi=|url=http://www.ncbi.nlm.nih.gov/pubmed/21258094}}</ref>
A rectal examination should not be performed in a patient with [[neutropenia]].<ref name="PMID21258094">{{cite journal |author=Freifeld AG, Bow EJ, Sepkowitz KA, Boeckh MJ, Ito JI, Mullen CA, Raad II, Rolston KV, Young JA, Wingard JR; Infectious Diseases Society of America. |title=Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america|journal=Clin Infect Dis. |volume=52 |issue=4 |pages=e56-95 |year=2011 |pmid=21258094 |doi=|url=http://www.ncbi.nlm.nih.gov/pubmed/21258094}}</ref>


===Appearance of Patient===
'''Vital signs'''
 
*[[Fever]]
===Vital Signs===
*[[Tachycardia]]
*[[Hypotension]]
*[[Tachypnea]]
*[[Hypoxia]]
'''General appearance'''
* Signs of distress
* Localizing sources of pain
*[[Conjunctival]] and [[palatal]] [[pallor]]
*[[Conjunctival]] and [[palatal]] [[pallor]]
*[[Petechiae]] or [[purpura]]
*[[Petechiae]] or [[purpura]]
*[[Mucositis]] or [[oropharyngeal lesions|other oropharyngeal lesions]]
*[[Mucositis]] or [[oropharyngeal lesions|other oropharyngeal lesions]]
*[[Lymphadenopathy]]
*[[Lymphadenopathy]]
 
'''Neurological exam'''
===Chest===
*Confusion or disorientation
*[[Abdominal pain]] or [[abdominal distension|distension]]
*Neck stiffness
*[[Splenomegaly]]
*Focal neurological abnormalities
'''Chest'''
* New heart [[murmurs]]
* [[Wheezes]], [[rales]], rhonchorous breath sounds
'''Abdomen'''
*[[Abdominal pain]]
*[[Abdominal distension|distension]]
*[[Hepatomegaly]] or [[Splenomegaly]]
'''Extremities'''
*[[Joint swelling]] or deformity
*[[Joint swelling]] or deformity
*Neurological abnormalities
*Rashes


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 00:39, 17 November 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Daniel A. Gerber, M.D. [2]

Overview

Physical examination should focus on identifying any potential signs of infection and is directed by the patients' presenting symptoms. A rectal examination should not be performed in a patient with neutropenia.

Physical Examination

A rectal examination should not be performed in a patient with neutropenia.[1]

Vital signs

General appearance

Neurological exam

  • Confusion or disorientation
  • Neck stiffness
  • Focal neurological abnormalities

Chest

Abdomen

Extremities

References

  1. Freifeld AG, Bow EJ, Sepkowitz KA, Boeckh MJ, Ito JI, Mullen CA, Raad II, Rolston KV, Young JA, Wingard JR; Infectious Diseases Society of America. (2011). "Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america". Clin Infect Dis. 52 (4): e56–95. PMID 21258094.