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General Inspection Hand

cyanse pallor jaundice


Bruising Clubbing hyper
pigmentation
stand atendof l
bed HR Packedcell

I
Respiratory Rate
Pedaloedema
Bloodtransfusion TPN
NutritionalstatusCSGAobese wasted Iwant toplot growthchartto assess

ThalassemiaFhcies prominent Malar eminence


Frontal Bossing
maxillary Hyperplasia

Hanaexamination x
ftp.T.ngteiffnmtoasepemton
muaefxpotj.mg
X clubbing 1palmarerythema
Koilunychier IDA
eukonychier dit hypoalbuhemig
PR 846pm good volume regular
Bruising Cdit uitk
scratchmarks 4 Bilesalts

Abodimal palpation Must squat downoneyelevel


palpate abdomen superficial SoftStender
deep mass usewhole
Liver palpable 5cm fwmsubcostal palphte palmmore
Upper border6thIcs ofthe MtP
comment on surface smooth Xlexptpain
place
margin regular1 irregular
consistency Firm Hard
Shape
Getabove Splenitotuh
g
Spleen palpate spleen digonally UntilI tell sp fch spleen
massive passthrough umbilicus Bean
use measuringthelengthofspleenbelowsubcostalmargin shape
DO palpate percussSmeasure C9010SubcostalMargin
mustdoTranbespace
Hel shiftingdullness Cmedihl lateral
ASC
X call Pt turn to side if shiftingdullness
kidney Ballotable Enlargement

Auscultation Bowelsound Heardeveryco nos


RenalBMT l it 2 mins i absent Xheard
descendedtestes
I would like to compute myexamination w un scrotalswelling
genitalm
Herwig pubic hair
Citywinery testicularatrophy
Polk Thalassemia Major it Bloodtrhnstn.vnmeaning Thhlassemihmajor
Hereditary spherocytosis

Dd
Dr Doris sickle cell anemig
Acute lymphoblastic leukaemia CALC
CML
H Epstein Barr Virus in1 cause infections
Mycoplasma in1 mononucleosis Tyinfective off
Aplastic Anemia X be differential
MalanhsbrbPD if Jaundice

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