Neutropenia physical examination

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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.