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Haem Exam

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

The Legs


Bony Tenderness

    • How to Elicit
    • Gently press over the bony prominences of the lower limb, asking the patient if this elicits pain.
    • Significance
    • May be an indicator of malignancy.
    • Causes of Bony Tenderness
    • Traumatic fracture
    • Pathological 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