Clinical features
Possible symptoms include:
- pallor
- fatigue
- dyspnoea
- anorexia
- headache
- bowel disturbance
- features of underlying disease
Possible signs include:
- koilonychia is suggestive of iron deficiency
- conjunctival pallor suggests anaemia (1)
- combination of fair or prematurely grey hair and blue eyes may indicate pernicious anaemia
- gum hypertrophy may occur secondary to infiltration by leukaemic cells, especially in acute monocytic leukaemia
- atrophic glossitis may occur in megaloblastic anaemia or iron deficiency anaemia
- tachycardia
- wide pulse pressure
- systolic ejection murmur
Reference:
- Tally N, O'Connor S. Clinical Examination. Blackwell Scientific Publications.
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