Aplastic anemia physical examination: Difference between revisions

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=== Appearance of the Patient ===
=== Appearance of the Patient ===
* Patients with aplastic anemia usually appear pale.
* Patients with aplastic anemia usually appear pale.
* Short stature


=== Vital Signs ===
=== Vital Signs ===
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* Neck examination of patients with aplastic anemia is usually normal.
* Neck examination of patients with aplastic anemia is usually normal.
=== Lungs ===
=== Lungs ===
* Pulmonary examination of patients with aplastic anemia is usually normal unless patients develop pneumonia.
* Pulmonary examination of patients with aplastic anemia is usually normal unless patients develop [[pneumonia]].


* Asymmetric chest expansion  
* Asymmetric chest expansion  
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* [[Rhonchi]]
* [[Rhonchi]]
* Decreased breath sounds
* Decreased breath sounds
* Tachypnea
* [[Tachypnea]]
*  
*  
* Reduced [[tactile fremitus]]
* Reduced [[tactile fremitus]]


=== Heart ===
=== Heart ===
* Cardiovascular examination of patients with [disease name] is usually normal.
* [[Cardiac arrhythmia|Arrythmias]]
OR
* [[Heart murmur|Murmur]]
* Chest tenderness upon palpation
* Chest pain
* PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
* [[Heave]] / [[thrill]]
* [[Friction rub]]
* [[Heart sounds#First heart tone S1.2C the .22lub.22.28components M1 and T1.29|S1]]
* [[Heart sounds#Second heart tone S2 the .22dub.22.28components A2 and P2.29|S2]]
* [[Heart sounds#Third heart sound S3|S3]]
* [[Heart sounds#Fourth heart sound S4|S4]]
* [[Heart sounds#Summation Gallop|Gallops]]
* A high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope
 
=== Abdomen ===
=== Abdomen ===
* Abdominal examination of patients with [disease name] is usually normal.
OR
* [[Abdominal distention]]
* [[Abdominal distention]]
* [[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant
* [[Diarrhea]]
* [[Rebound tenderness]] (positive Blumberg sign)
* A palpable abdominal mass in the right/left upper/lower abdominal quadrant
* Guarding may be present
* [[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
* Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test


=== Back ===
=== Back ===
* Back examination of patients with [disease name] is usually normal.
* Back examination of patients with aplastic anemia is usually normal.
OR
* Point tenderness over __ vertebrae (e.g. L3-L4)
* Sacral edema
* Costovertebral angle tenderness bilaterally/unilaterally
* Buffalo hump
 
=== Genitourinary ===
=== Genitourinary ===
* Genitourinary examination of patients with [disease name] is usually normal.
* [[Hypogonadism]]
OR
* A pelvic/adnexal mass may be palpated
* Inflamed mucosa
* Clear/(color), foul-smelling/odorless penile/vaginal discharge


=== Neuromuscular ===
=== Neuromuscular ===
* Neuromuscular examination of patients with [disease name] is usually normal.
* Neuromuscular examination of patients with aplastic anemia is usually normal.
OR
* Patient is usually oriented to persons, place, and time
* Altered mental status
* Glasgow coma scale is ___ / 15
* Clonus may be present
* Hyperreflexia / hyporeflexia / areflexia
* Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
* Muscle rigidity
* Proximal/distal muscle weakness unilaterally/bilaterally
* ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
* Unilateral/bilateral upper/lower extremity weakness
* Unilateral/bilateral sensory loss in the upper/lower extremity
* Positive straight leg raise test
* Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
* Positive/negative Trendelenburg sign
* Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
* Normal finger-to-nose test / Dysmetria
* Absent/present dysdiadochokinesia (palm tapping test)
 
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*  
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Revision as of 15:42, 21 August 2018

Aplastic anemia Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical Examination

Appearance of the Patient

  • Patients with aplastic anemia usually appear pale.
  • Short stature

Vital Signs

Skin

HEENT

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.

Heart

Abdomen

Back

  • Back examination of patients with aplastic anemia is usually normal.

Genitourinary

Neuromuscular

  • Neuromuscular examination of patients with aplastic anemia is usually normal.

References