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Haem Exam
Haem Exam
When examining a patient's haematologic system, remember the three key cell lines and the major manifestations that can result from their derangement: anaemia, infection and bleeding / bruising. The haematology exam is also used to identify signs of malignancy, such as lymphadenopathy and splenomegaly.

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
Last updated on January 1st, 2017