Improving the physical examination for anemia

Methods

Twelve primary health care providers in Bangladesh examined 452 pregnant women (198 had Hb < 10) for the presence or absence of pallor on nine different anatomical sites, viz. nail-beds, nail-bed blanching, palm, palmar creases, face, lips, tongue, oral mucosa and conjunctiva

Results

This chart is the standardized colors the researchers used to train examiners and below is distribution of results for the conjunctival color.
  1 2 3 4 5 6 7 8 9 10 11 12 13
Hb < 10     28%42%36%     
Hb 10 - 12       19%19%40%   
Hb > 12        10%53%Not statedNot statedNot stated

References

1: Chowdhury ME, Chongsuvivatwong V, Geater AF, Akhter HH, Winn T. Taking a medical history and using a colour scale during clinical examination of pallor improves detection of anaemia. Trop Med Int Health. 2002 Feb;7(2):133-9. PubMed PMID: 11841703.