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Haem Exam


February 15th, 2021

Conjunctival Pallor

  • How to Elicit

  • Pull the lower eyelid downward and inspect the inner eyelid. Conjunctival pallor is present if there is loss of the normal redness of the anterior rim of the conjunctiva.
  • Significance

  • A sign of severe anaemia.

Subconjunctival Haemorrhage

  • Look For

  • Redness beneath the conjuncctiva due to bleeding
  • Significance

  • May be a sign of coagulopathy.
  • Causes of Subconjunctival Haemorrhage

  • Idiopathic
  • Ocular damage - trauma, contact lens use, surgery
  • Vascular damage - hypertension, diabetes, atherosclerosis
  • Conjunctivitis
  • Conjunctival tumour

Scleral Icterus

  • Look For

  • Yellowness of the conjunctiva overlying the sclera.
  • Significance

  • A relatively sensitive indicator of jaundice, occurring prior to the development of colour change in the skin.
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