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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.




    • Look for

    • The patient’s current weight
    • Change in weight - compare to past weights
    • Time course of weight change - sudden or over time
    • Causes of Weight Gain

    • Dietary intake
    • Physical exercise
    • Endocrine - hypothyroidism, Cushing’s, PCOS
    • Medications - steroids, antidepressants, antipsychotics, OCP
    • Fluid overload - excessive IV fluids, renal disease, heart failure
    • Genetic (rare)
    • Causes of Weight Loss

    • Dietary intake - anorexia, decreased access to food
    • Physical activity
    • Malignancy
    • Malabsorption - obstruction, IBD, pancreatitis, coeliac disease
    • Endocrine - hyperthyroidism, diabetes, phaeochromocytoma, addison’s
    • Neurological - stroke, Parkinson’s, dementia
    • Drugs - diuretics, chemotherapy, amphetamines, opioids
    • Organ failure - renal failure, liver failure, CCF, respiratory failure
    • Chronic infection - TB, HIV
    • Psychiatric - eating disorders, depression, alcoholism, schizophrenia
Last updated on January 1st, 2017