Acute chest syndrome physical examination

• Fevers up to 104 degrees Fahrenheit.

• Tachycardia

• Tachypnea may be present

• Lipemia retinais can be seen in the patient with fat embolism

• Rales and dullness to percussion are the most common findings on physical exam.
• 35% of patients have a normal auscultatory exam.
• Patients can also have sternal tenderness.

  • There is little difference in physical findings between patients with Hb SS and Hb SC disease.

• Mental confusion may suggest hyoxia or fat embolization.

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