Paul K. Schick, MD

Professor of Medicine, Emeritus, Thomas Jefferson Medical College, Philadelphia
Research Professor, Drexel University College of Medicine, Philadelphia
Adjunct Clinical Professor, Lankenau Hospital (LIMR), Wynnewood, PA

This case was reviewed and updated in September 2012 by Dr. Peter Marks and members of the Teaching Cases Subcommittee.

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


General appearance: Pale female in no acute distress.

Vital signs: Blood pressure - 125/90, heart rate - 88 regular, Respirations - 12/min. There were no significant changes in the blood pressure and heart rate between the supine and upright positions.

The remainder of the physical examination was remarkable for pale conjunctiva. Mucous membranes were moist and without lesions. There was no adenopathy appreciated. The chest was clear to auscultation and the heart had a regular rate and rhythm with a grade I/VI systolic ejection murmur. The abdomen was soft, non-tender and non-distended. There was no hepatosplenomegaly. Rectal examination revealed no masses and heme negative brown stool was present.

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