Sideroblastic anemia physical examination

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Overview

Physical Examination

Physical Examination

Appearance of the Patient

  • Patients with sideroblastic anemia usually appear pale
  • Growth retardation in children

Vital Signs

  • Hypothermia

Skin

  • Photosensitivity (porphyria)
  • Petechiae (myelodysplastic syndrome)

HEENT

  • HEENT examination of patients with sideroblastic anemia is usually normal except
  • Oral - Lead line on teeth margins
  • Eyes - Optic atrophy (associated with DIDMOAD syndrome)

Neck

  • Neck examination of patients with sideroblastic anemia is usually normal.

Lungs

  • Pulmonary examination of patients with sideroblastic anemia is usually normal except
  • Shortness of breath

Heart

  • Tachycardia
  • Chest pain

Abdomen

  • Splenomegaly
  • Diarrhea

Back

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

Genitourinary

  • Genitourinary examination of patients with sideroblastic anemia is usually normal except
  • Pink staining of diapers in childrens from porphyrins in urine

Neuromuscular

  • Ataxia,
  • Hyporeflexia
  • Incoordination

Extremities

  • Extremities examination of patients with sideroblastic anemia is usually normal.

References

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