Haem Exam


The Patient

The Hands

The Arms

The Face

The Neck

The Chest

The Abdomen

The Pelvis

The Back

The Legs

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Chest Wall

Chest Wall Tenderness
    • How to Elicit
    • Gently palpate the chest wall, checking for tenderness. Ask the patient where is tender, and watch their face for nonverbal cues.
    • Causes of Chest Wall Tenderness
    • Trauma - sprain, strain, haematoma, rib fracture
    • Costochondritis
    • Fibromyalgia
    • Rheumatic disease - rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, lupus, septic arthritis
    • Neoplastic bone pain