Evans syndrome physical examination

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

Patients with Evans syndrome usually appear normal. Physical examination of patients with Evans syndrome is usually remarkable for jaundice, hepatosplenomegaly, and lymphadenopathy.

• Jaundice
• Pallor
• Bruises

• Icteric sclera
• Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal)
• Purulent exudate from the nares

• Lymphadenopathy

• Guarding may be present
• Hepatosplenomegaly