Angiodysplasia physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nikita Singh, M.B.B.S.[2]

On physical examination, signs of iron deficiency anemia can be found in patients with occult bleeding. In addition, a systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.

On physical examination, signs of iron deficiency anemia^[1] can be found in patients with occult bleeding like:

• Clinical presentation of a patient with angiodysplasia varies according to blood loss.
• Patients with chronic, occult blood loss may appear pale, tired, depressed, and lethargic.

• Skin changes like rough or dry skin may be seen.
• Nail changes like koilonychia may be present
• Hair loss (rare)

• Conjunctival pallor, atrophic glossitis,^[2] cheilosis may be seen

• Pulmonary examination of patients with angiodysplasia is usually normal.

• A systolic ejection murmur can be heard if angiodysplasia is associated with aortic stenosis.

• Abdominal examination of patients with angiodysplasia is usually normal. In some cases, however, a lower abdominal/pelvic mass may be the only clue for the diagnosis.

• Genitourinary examination of patients with angiodysplasia is usually normal.

• Neuromuscular examination of patients with angiodysplasia is usually normal.

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