Physical Exam

The following describes this patient’s physical exam when you see her in clinic:

General: Well appearing

Vital signs: Heart rate 69/min, blood pressure 130/65 respiratory rate 13/min, T 98oF

Head and neck: No buccal ulcers, no lymphadenopathy

Chest: Normal to inspection, palpation, percussion, and auscultation

CVS: S1, S2, no extra sounds, no murmurs

Abdomen: Soft, non-tender, no hepatosplenomegaly

CNS: No focal changes

Skin: No rash

“In otherwise healthy patients with incidental neutropenia, the physical examination should focus on examination for adenopathy or splenomegaly, as well as specific signs of active or prior infection, such as healing skin ulcers or aphthous ulcers. There are few other specific physical examination findings that are helpful.”

Berliner N. Hematology Am Soc Hematol Educ Program. 2004:63-79.