Hereditary elliptocytosis physical examination

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Overview

Physical Examination

Appearance of the Patient

  • Patients are usually well-appearing in the absence of severe anemia.
  • Patient appears ill in the state of septicemia.

Vital Signs

  • may have Tachycardia, depends on the severity of the anemia.
  • may have Tachypnea depends on severity of the anemia.
  • Patients may have weak pulse

Skin

HEENT

  • may have signs of meningitis due to meningococcal infection following splenectomy : neck stiffness (redor) ,fever, headache

Neck

No specific sign.

Lungs

  • commonly normal lung sounds.
  • May present crackle due to pneumococcal or Haemophilus influenza pneumonia , following splenectomy.

Heart

  • commonly normal heart sounds

Abdomen

Extremities

  • Leg ulcers

Neuromuscular

  • Patient is usually oriented to persons, place, and time
  • Glasgow coma scale is normally 15 / 15 but may may present loss of consciousness in severe fatal hemorrhage episodes.[1][2]

References

  1. Barcellini W, Bianchi P, Fermo E, Imperiali FG, Marcello AP, Vercellati C; et al. (2011). "Hereditary red cell membrane defects: diagnostic and clinical aspects". Blood Transfus. 9 (3): 274–7. doi:10.2450/2011.0086-10. PMC 3136593. PMID 21251470.
  2. Bayhan T, Ünal Ş, Gümrük F (2016). "Hereditary Elliptocytosis with Pyropoikilocytosis". Turk J Haematol. 33 (1): 86–7. doi:10.4274/tjh.2015.0054. PMC 4805353. PMID 26377499.

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