Haematology Physical Assessment

8/17/2019 Haematology Physical Assessment

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Hematology Physical AssessmentIntegrated Pharmacy Practice Lab #2

4TH Pharm D

Pharmacy Practice Dep.,

Unizah College ! Pharmacy

2"$%2"&


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Coag'lation Di(ea(e()leeding Di(ea(e(DI*+*+ I-DUC+DDI*+*+ I-DUC+D)leeding Di(ea(e(DI*+*+ I-DUC+DDI*+*+ I-DUC+D


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Ask your patient about the ease in which they perform activities

of daily living, to determine if hypoxia is present. Inquire about fatigue, shortness of breath, or episodes of

breathlessness. These assessment ndings may clue patient in toa potential hematological deciency.

Common bloodrelated ca'(e( o! hypo/ia 0lo1 o/ygencarrying capacity o! the blood incl'de3

ow number of circulating red blood cells !oor supply of hemoglobin within these red blood cells "arbon monoxide poisoning Phy(ical cl'e( that 1ill aid in a((e((ing o/ygen carrying

capacity incl'de3

#kin coloration

$espiratory rate

!attern of respiratio

"apillary rell

%eart rate #kin temperature

Hi(tory Phy(ical Cl'e(


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In(pection 5

*6in!aleness& anaemia

Iron deciency& dry skin, koilonychia,brittle hair and nail, hair loss, itching

haemolytic anaemia, pernicous anaemia & 'aundice

thrombocytopenia &Thrombocytopenic purpura(petechia, ecchymosis, su)usion*

#kin infections& neutropenia (lack of pus+*

Phy(ical e/amination


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In(pection ral ca7ity, m'co'( membrane( !lummer - mucous membrane atrophy in

iron decient anaemia %unters glossitis& vitamin /01 deciency !etechia& thrombocytopenia

Phy(ical e/amination0cont.


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#plenomegaly %aemolysis ($2# hyperplasia*&

thalassaemia, sickle cell anaemia, any type

of haemolytic anaemia

Phy(ical e/amination0cont.


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!eripheral blood smear "/", reticulocyte 2#$, "$! 2!3, 4erritin, /01

5irect "oombs, irregular antibodies %aptoglobin, plasma free haemoglobin #tool ben6idin test urine sediment

U(e!'l laboratory te(t( 8eneral5


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7ray (bone laesions of 88* "T 8$I

9allium scan !2T:"T

Imaging techni9'e(


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Phy(ical a((e((ment o!anemia


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Temperature !ulse $espiratory rate

/lood pressure

((e((ment o! 7ital (ign( o!anemic patient


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Coag'lation Di(ea(e()leeding Di(ea(e(Di(ea(e Ind'cedDi(ea(e Ind'cedDi(ea(e Ind'ced)leeding Di(ea(e(Di(ea(e Ind'cedDi(ea(e Ind'cedDi(ea(e Ind'ced

Coag'lation Di(ea(e(


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!lasma is a straw;colored, clear liquid thatis ninety percent water. It is essential for thetransport of blood components.

!lasma water, electrolytes and plasmaproteins that maintain the osmoticdistribution of


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)l. Platelet( Clotting !actor(

:ibrin Thrombin

The Clotting componrnt(


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4actor =III (%aemophilia A* 4actor I7 (%aemophilia /* Inhibitors

H+;PHILI


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Deep 7eno'( thrombo(i(


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Haematology Physical Assessment