RETICULO-ENDOTHELIAL EXAMINATION Flashcards Preview

HAEMATOLOGY > RETICULO-ENDOTHELIAL EXAMINATION > Flashcards

Flashcards in RETICULO-ENDOTHELIAL EXAMINATION Deck (10)
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1
Q

How would you start any examination?

A
WIPER QQ
Wash hands
Introduce yourself
Ask permission
Expose the patient
Reposition the patient

Ask if they are in any pain or discomfort

2
Q

How exposed should the patient be for a reticulo-endothelial examination?

A

From the waist up

3
Q

How should the patient be positioned for the reticulo-endothelial examination?

A

Initially sat up

4
Q

What might you look for during general inspection of the patient in a reticulo-endothelial examination?

A

Patient may appear generally unwell and tired
Short of breath - anaemia
Signs of bleeding - thrombocytopenia
Any obvious lymph node swelling

5
Q

Having inspected the patient as part of a reticulo-endothelial examination, what should you do next?

A

Palpate the lymph nodes

6
Q

Which lymph nodes should you palpate as part of a reticulo-endothelial examination?

A
Submental nodes
Submandibular nodes
Anterior chain 
Posterior chain
Occipital nodes
Post and pre-auricular
Supra- and infra- clavicular
Axillary nodes
Inguinal nodes
7
Q

What might you notice about any of the lymph node groups during a reticulo-endothelial examination?

A

Enlarged nodes
Rubbery
Non-tender

8
Q

Having palpated the lymph nodes as part of the reticulo-endothelial examination, what would you do next?

A

Palpate the liver looking for hepatomegaly

9
Q

Having palpated the liver as part of the reticulo-endothelial examination, what would you do next?

A

Palpate the spleen looking for splenomegaly

10
Q

What test would you say you would do in an OSCE at the end of a reticulo-endothelial examination?

A

Blood tests and blood film, looking for blasts