haematological history Flashcards

1
Q

symptoms of anaemia

A
tiredness
light headedness 
breathlessness
palpitations
worsening of pre-existing ischaemic conditions
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2
Q

symptoms to ask about

A
weight loss
sweating
bleeding
bruising
noticeable lumps
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3
Q

Types of bleeding

A
haemoptysis
gums
haematuria
epistaxis
blood blisters
prolonged menstrual bleeding
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4
Q

past medical history

A

first time with these symptoms
malignancy
recurrent infections
recent illnesses

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5
Q

What bugs are asplenic patients susceptible to?

A

haemophilus influenzae
pneumococcus
meningococcus

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6
Q

drug history

A

warfarin

anti-platelet agents

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7
Q

Social history

A
alcohol intake
smoking
occupation history 
recent travel
sexual history 
IVD
tattoos / piercings
blood transfusions
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8
Q

haematological blood tests

A
FBC
LFTs
renal function
coagulation
lactate dehyrogenase
iron studies, vitamin B12, folate
protein electrophoresis
immunoglobulins
calcium
HIV testing
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9
Q

imaging

A

ultrasound for hepatomegaly / splenomegaly

CT thorax, abdo, pelvis for organomegaly and lymphadenopathy

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