Myeloproliferative Disorder

Eileen Scigliano, MD

Mount Sinai School of Medicine, New York, NY

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

This case was reviewed and updated in March 2013 by Dr. Marc J. Kahn and members of the Teaching Cases Subcommittee.

II. PHYSICAL EXAM

Physical examination reveals a well-developed man in no acute distress. [Note: cachexia (profound wasting) would suggest chronic illness (inflammatory or infectious) or malignancy.]

	Afebrile
	Head, ears, eyes, nose, throat: anicteric (absence of jaundice)
	No lymphadenopathy
	Lungs are clear (no pulmonary signs of infection or malignancy)
	Heart: no murmurs
	Abdomen: no signs of ascites; liver edge is not palpable; spleen edge is palpable 4 cm below the left costal margin. (Click here to learn how to examine a patient for the presence of splenomegaly)
	Skin: no petechiae. No ecchymoses. No spider angiomata. (Click here for an explanation of these skin lesions and the conditions that can be indicated by their presence)
	Neurologic exam: normal

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