haematological history Flashcards
1
Q
symptoms of anaemia
A
tiredness light headedness breathlessness palpitations worsening of pre-existing ischaemic conditions
2
Q
symptoms to ask about
A
weight loss sweating bleeding bruising noticeable lumps
3
Q
Types of bleeding
A
haemoptysis gums haematuria epistaxis blood blisters prolonged menstrual bleeding
4
Q
past medical history
A
first time with these symptoms
malignancy
recurrent infections
recent illnesses
5
Q
What bugs are asplenic patients susceptible to?
A
haemophilus influenzae
pneumococcus
meningococcus
6
Q
drug history
A
warfarin
anti-platelet agents
7
Q
Social history
A
alcohol intake smoking occupation history recent travel sexual history IVD tattoos / piercings blood transfusions
8
Q
haematological blood tests
A
FBC LFTs renal function coagulation lactate dehyrogenase iron studies, vitamin B12, folate protein electrophoresis immunoglobulins calcium HIV testing
9
Q
imaging
A
ultrasound for hepatomegaly / splenomegaly
CT thorax, abdo, pelvis for organomegaly and lymphadenopathy