Login or Register to unlock everything MedSchool has to offer!

Haem Exam

The Patient
The Hands
The Arms
The Face
The Neck
The Chest
The Abdomen
The Pelvis
The Back
The Legs

The Back


Bony Tenderness

    • How to Elicit
    • Gently press over each spinous process, asking the patient if this elicits pain.
    • Significance
    • May be an indicator of malignancy.
    • Causes of Bony Tenderness
    • Traumatic fracture
    • Pathologic fracture - osteoporosis, osteomalacia, osteogenesis imperfecta, Paget’s disease of bone
    • Osteolytic lesions - multiple myeloma, bony metastasis, fibrous dysplasia, bone cyst
    • Osteosarcoma
    • Infection - osteomyelitis,  septic arthritis