Essential thrombocytosis physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
Patients with essential thrombocytosis are usually well appearing. Physical examination of patients with essential thrombocytosis is usually remarkable for splenomegaly.
Physical examination
Patients with essential thrombocytosis are usually well appearing. Physical examination of patients with essential thrombocytosis is usually remarkable for splenomegaly, as a result of sequestration with the dysfunctional platelets. Erythromelalgia which is an episodic pain disorder caused by the occlusion of blood vessels in the extremities resulting in redness, intense burning pain and warmth in the affected area, is seen in some patients.[1] Other signs in patients with essential thrombocytosis may include:[2]
Appearance of the Patient
- Patients are usually well-appearing
Vital signs
- Low grade fever may be present
Skin
- Bruises
HEENT
- Decreased visual acuity
Abdomen
- Splenomegaly, as a result of sequestration with the dysfunctional platelets
Genitourinary
Extremities
- Redness, tenderness and warmth of hands and feet (erythromelalgia) caused by the occlusion of blood vessels in the extremities.[1]
References
- ↑ 1.0 1.1 Erythromelalgia. Wikipedia. https://en.wikipedia.org/wiki/Erythromelalgia. Accessed on November 6th,2015.
- ↑ Koudstaal PJ, Koudstaal A (1997). “Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin”. Semin Thromb Hemost. 23 (4): 365–70. doi:10.1055/s-2007-996110. PMID 9263353.
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