Polycythemia vera physical examination

Patients with polycythemia vera are usually well-appearing. Physical examination of patients with polycythemia vera is usually remarkable for ruddy and plethoric face, fever, and splenomegaly.

Common physical examination findings associated with polycythemia vera include:^[1][2][3]

• Patients with polycythemia vera usually have a ruddy, plethoric complexion.

• Fever
• Systolic hypertension
• Diastolic hypertension

• Bruises
• Petechiae
• Ulcers
• Plethora in face
• Gouty nodules
• Post-phlebitis syndrome if deep vein thrombosis develops
• Erythema in extremities

• Decreased vision acuity
• Numbness or weakness from cerebrovascular event
• Conjunctival plethora
• Engorged retinal veins

• Lymphadenopathy

• Vesicular breath sounds
• Wheezing

• Cardiovascular examination of patients with polycythemia vera is usually normal.

• Splenomegaly

• Back examination of patients with polycythemia vera is usually normal.

• Inguinal lymphadenopathy
• Priapism

• Neuromuscular examination of patients with polycythemia vera is usually normal.

• Numbness

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