Haematological

Question 1

General inspection

Answer 1

Jaundice, pale, african descent, mediterranean

Question 2

Hands + upper limb

Answer 2

Nails, koilonychia, raynaud’s phenomenon, digital infarctions, hands, palmar pallor, joint arthiritis, gouty tophi, bruising, purpura, petechia, epitrochlear lymph node

Question 3

Axilla, delto pectoral

Answer 3

Central, lateral, pectoral, subscapular, infraclavicular lymph nodes

Question 4

Face

Answer 4

Eyes, blue + grey hair, jaundice, haemmorrhage, injection

Question 5

Mouth

Answer 5

Gum hypertrophy, bleeding, ulcers, atrophic glossitis, telangectasia, tonsilar enlargment, angular stomatitis

Question 6

Cervical + suprascapular lymph nodes

Answer 6

Submental, submandibular, pre-auricular, post-auricular, supraclavicular, posterior chain, occipital

Question 7

Back

Answer 7

Bony tenderness, spine

Question 8

Abdomen

Answer 8

Inspection, masses, bruising, stretch marks, previous abrasions, palpate, light, deep, liver, spleen, para-aortic LNs

Question 9

Percuss

Answer 9

9 areas, Castell’s sign (enlarged spleen)

Question 10

Lower limbs

Answer 10

Bruises, petechiae, pupura, ulcers on malleoli, popliteal lymph nodes

Question 11

Concluding remarks

Answer 11

Neurological exam of lower limbs, fundoscopy, inguinal lymph nodes, vital signs - temperature, CV exam –> flow murmur, resp exam –> pneumonia