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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Weight

 
 
    • 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
 
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