Macrocytosis

Emmanuel C. Besa, MD

Thomas Jefferson University, Jefferson Medical College, Philadelphia, PA

This case was reviewed and updated in March 2013 by Dr. Howard A. Liebman and members of the Teaching Cases Subcommittee.

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.

II. PHYSICAL EXAM

Physical Exam: Pink conjunctiva, no adenopathy, marked kyphoscoliosis.

Based on the patient presentation, which aspects of the physical examination are most important in helping you make a diagnosis?

Oral examination of tongue
Heart examination, for irregular rhythm
Abdominal examination for hepatosplenomegaly
Neurologic examination for loss of proprioception

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