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HAEMOPOIETICHAEMOPOIETIC
SYSTEMSYSTEM
HISTORY TAKINGHISTORY TAKING
HISTORY TAKINGHISTORY TAKING
 SYMPTOMS DUE TO REDUCED NUMBER ANDSYMPTOMS DUE TO REDUCED NUMBER AND
FUNCTION OF CELLSFUNCTION OF CELLS
 SYMPTOMS DUE TO INCREASED NUMBER OFSYMPTOMS DUE TO INCREASED NUMBER OF
CELLSCELLS
 PRESSURE SYMPTOMS AS A RESULT OFPRESSURE SYMPTOMS AS A RESULT OF
ORGANOMEGLY AND LYMPHADENOPATHYORGANOMEGLY AND LYMPHADENOPATHY
 GENERAL CONSTITUTIONAL SYMPTOMSGENERAL CONSTITUTIONAL SYMPTOMS
(FEVER, WEIGHT LOSS, FATIGUE, JOINT PAIN(FEVER, WEIGHT LOSS, FATIGUE, JOINT PAIN
AND NIGHT SWEATS)AND NIGHT SWEATS)
 SYMPTOMS OF AETIOLOGICAL FACTORSYMPTOMS OF AETIOLOGICAL FACTOR
REDUCED NUMBER ANDREDUCED NUMBER AND
FUNCTION OF CELLSFUNCTION OF CELLS
 ANAEMIA (RED CELLS)ANAEMIA (RED CELLS)
 DYSPNOEA, PALPITATION, FATIGUE,DYSPNOEA, PALPITATION, FATIGUE,
BREATHLESSNESS, DIZINESS, SYNCOPEBREATHLESSNESS, DIZINESS, SYNCOPE
 PALLORPALLOR
 IMPAIRED CONCENTRATIONIMPAIRED CONCENTRATION
 WEAKNESSWEAKNESS
WHITE CELLSWHITE CELLS
 FEVERFEVER
 NEUTROPENIC FEVERNEUTROPENIC FEVER
 INFECTIONSINFECTIONS
 SKIN, THROAT, CHEST, PERINIUM ANDSKIN, THROAT, CHEST, PERINIUM AND
ANY WHERE INCLUDING SEPTICAEMIAANY WHERE INCLUDING SEPTICAEMIA
PLATELETSPLATELETS
 BLEEDINGBLEEDING
 CUTANEOUS OR MUCOSAL BLEEDINGCUTANEOUS OR MUCOSAL BLEEDING
 PETECHIAE, PURPURA, ECCHEMOSISPETECHIAE, PURPURA, ECCHEMOSIS
AND HAEMATOMAAND HAEMATOMA
INCREASED NUMBER OF CELLSINCREASED NUMBER OF CELLS
 POLYCYTHEMIA (DIZINESS, BLURREDPOLYCYTHEMIA (DIZINESS, BLURRED
VISION, VASCULAR INSUFFICIENCY)VISION, VASCULAR INSUFFICIENCY)
 HYPERVISCOSITY SYNDROMEHYPERVISCOSITY SYNDROME
 BONE EXPANSION (BONE PAIN)BONE EXPANSION (BONE PAIN)
 OBSTRUCTION OF VESSELS SUPPLYINGOBSTRUCTION OF VESSELS SUPPLYING
THE ORGANSTHE ORGANS
ORGANOMEGLYORGANOMEGLY
 SPLENOMEGLY (ABDOMINALSPLENOMEGLY (ABDOMINAL
DISCONFORT, INFARCTION, EARLYDISCONFORT, INFARCTION, EARLY
SATIETY, OBSTRUTION OF GUTS)SATIETY, OBSTRUTION OF GUTS)
 HEPATOMEGLY SAME AS ABOVEHEPATOMEGLY SAME AS ABOVE
 LYMPHADENOPATHY WITH PRESSURELYMPHADENOPATHY WITH PRESSURE
SYMPTOMS (STRIDOR, SVC SYNDROME,SYMPTOMS (STRIDOR, SVC SYNDROME,
DYSPHAGIA etc.)DYSPHAGIA etc.)
CONSTITUTIONAL SYMPTOMSCONSTITUTIONAL SYMPTOMS
 ESPICIALLY IN MYELOPROLIFERATIVEESPICIALLY IN MYELOPROLIFERATIVE
DISORDERS LIKE CML, POLYCYTHEMIADISORDERS LIKE CML, POLYCYTHEMIA
RUBRA VERA AND ACUTERUBRA VERA AND ACUTE
LEUKAEMIAS)LEUKAEMIAS)
 FEVER, FATIGUE, NIGHT SWEAT,FEVER, FATIGUE, NIGHT SWEAT,
WEIGHT LOSS AND PRUITUSWEIGHT LOSS AND PRUITUS
AETIOLOGICAL FACTORAETIOLOGICAL FACTOR
 GI OR MENSTRAL BLEEDINGGI OR MENSTRAL BLEEDING
 MALABSORPTIONMALABSORPTION
 PSH LIKE GI OPERATIONPSH LIKE GI OPERATION
 OG HISTORY PREGNANCY AND GYNAECOLOGICALOG HISTORY PREGNANCY AND GYNAECOLOGICAL
PROBLEMSPROBLEMS
 DIETARY FACTORDIETARY FACTOR
 PREVIOUS EXPOSURE TO DRUGS AND CHEMICALSPREVIOUS EXPOSURE TO DRUGS AND CHEMICALS
 SOCIAL HISTORY(RACIAL FACTOR)SOCIAL HISTORY(RACIAL FACTOR)
 PMH WITH TREATMENTPMH WITH TREATMENT
 FAMILY HISTORY (THALASSAEMIA AND BLEEDINGFAMILY HISTORY (THALASSAEMIA AND BLEEDING
DISORDERS)DISORDERS)
HistoryTaking - Haemopoietic System

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HistoryTaking - Haemopoietic System

  • 2. HISTORY TAKINGHISTORY TAKING  SYMPTOMS DUE TO REDUCED NUMBER ANDSYMPTOMS DUE TO REDUCED NUMBER AND FUNCTION OF CELLSFUNCTION OF CELLS  SYMPTOMS DUE TO INCREASED NUMBER OFSYMPTOMS DUE TO INCREASED NUMBER OF CELLSCELLS  PRESSURE SYMPTOMS AS A RESULT OFPRESSURE SYMPTOMS AS A RESULT OF ORGANOMEGLY AND LYMPHADENOPATHYORGANOMEGLY AND LYMPHADENOPATHY  GENERAL CONSTITUTIONAL SYMPTOMSGENERAL CONSTITUTIONAL SYMPTOMS (FEVER, WEIGHT LOSS, FATIGUE, JOINT PAIN(FEVER, WEIGHT LOSS, FATIGUE, JOINT PAIN AND NIGHT SWEATS)AND NIGHT SWEATS)  SYMPTOMS OF AETIOLOGICAL FACTORSYMPTOMS OF AETIOLOGICAL FACTOR
  • 3. REDUCED NUMBER ANDREDUCED NUMBER AND FUNCTION OF CELLSFUNCTION OF CELLS  ANAEMIA (RED CELLS)ANAEMIA (RED CELLS)  DYSPNOEA, PALPITATION, FATIGUE,DYSPNOEA, PALPITATION, FATIGUE, BREATHLESSNESS, DIZINESS, SYNCOPEBREATHLESSNESS, DIZINESS, SYNCOPE  PALLORPALLOR  IMPAIRED CONCENTRATIONIMPAIRED CONCENTRATION  WEAKNESSWEAKNESS
  • 4. WHITE CELLSWHITE CELLS  FEVERFEVER  NEUTROPENIC FEVERNEUTROPENIC FEVER  INFECTIONSINFECTIONS  SKIN, THROAT, CHEST, PERINIUM ANDSKIN, THROAT, CHEST, PERINIUM AND ANY WHERE INCLUDING SEPTICAEMIAANY WHERE INCLUDING SEPTICAEMIA
  • 5. PLATELETSPLATELETS  BLEEDINGBLEEDING  CUTANEOUS OR MUCOSAL BLEEDINGCUTANEOUS OR MUCOSAL BLEEDING  PETECHIAE, PURPURA, ECCHEMOSISPETECHIAE, PURPURA, ECCHEMOSIS AND HAEMATOMAAND HAEMATOMA
  • 6. INCREASED NUMBER OF CELLSINCREASED NUMBER OF CELLS  POLYCYTHEMIA (DIZINESS, BLURREDPOLYCYTHEMIA (DIZINESS, BLURRED VISION, VASCULAR INSUFFICIENCY)VISION, VASCULAR INSUFFICIENCY)  HYPERVISCOSITY SYNDROMEHYPERVISCOSITY SYNDROME  BONE EXPANSION (BONE PAIN)BONE EXPANSION (BONE PAIN)  OBSTRUCTION OF VESSELS SUPPLYINGOBSTRUCTION OF VESSELS SUPPLYING THE ORGANSTHE ORGANS
  • 7. ORGANOMEGLYORGANOMEGLY  SPLENOMEGLY (ABDOMINALSPLENOMEGLY (ABDOMINAL DISCONFORT, INFARCTION, EARLYDISCONFORT, INFARCTION, EARLY SATIETY, OBSTRUTION OF GUTS)SATIETY, OBSTRUTION OF GUTS)  HEPATOMEGLY SAME AS ABOVEHEPATOMEGLY SAME AS ABOVE  LYMPHADENOPATHY WITH PRESSURELYMPHADENOPATHY WITH PRESSURE SYMPTOMS (STRIDOR, SVC SYNDROME,SYMPTOMS (STRIDOR, SVC SYNDROME, DYSPHAGIA etc.)DYSPHAGIA etc.)
  • 8. CONSTITUTIONAL SYMPTOMSCONSTITUTIONAL SYMPTOMS  ESPICIALLY IN MYELOPROLIFERATIVEESPICIALLY IN MYELOPROLIFERATIVE DISORDERS LIKE CML, POLYCYTHEMIADISORDERS LIKE CML, POLYCYTHEMIA RUBRA VERA AND ACUTERUBRA VERA AND ACUTE LEUKAEMIAS)LEUKAEMIAS)  FEVER, FATIGUE, NIGHT SWEAT,FEVER, FATIGUE, NIGHT SWEAT, WEIGHT LOSS AND PRUITUSWEIGHT LOSS AND PRUITUS
  • 9. AETIOLOGICAL FACTORAETIOLOGICAL FACTOR  GI OR MENSTRAL BLEEDINGGI OR MENSTRAL BLEEDING  MALABSORPTIONMALABSORPTION  PSH LIKE GI OPERATIONPSH LIKE GI OPERATION  OG HISTORY PREGNANCY AND GYNAECOLOGICALOG HISTORY PREGNANCY AND GYNAECOLOGICAL PROBLEMSPROBLEMS  DIETARY FACTORDIETARY FACTOR  PREVIOUS EXPOSURE TO DRUGS AND CHEMICALSPREVIOUS EXPOSURE TO DRUGS AND CHEMICALS  SOCIAL HISTORY(RACIAL FACTOR)SOCIAL HISTORY(RACIAL FACTOR)  PMH WITH TREATMENTPMH WITH TREATMENT  FAMILY HISTORY (THALASSAEMIA AND BLEEDINGFAMILY HISTORY (THALASSAEMIA AND BLEEDING DISORDERS)DISORDERS)