Hematological: History
  1. Anemia symptoms
  2. Lymphoid symptoms
  3. Past medical, surgical history
  4. Family, social, drug history
Anemia symptoms
  • Fatigue, weakness.
  • Dyspnea.
  • Blood in stools, melena.
  • Easy bruising, bleeding.
  • Heavy menstruation. If so, See Menstrual History.
Lymphoid symptoms
  • Infections.
  • Swelling of lymph nodes.
  • Pain in lymph nodes.
  • Order of nodal enlargement.
Past medical, surgical history
  • Frequent infections.
  • Bleeding disorders.
  • Radiotherapy.
  • Recent trauma causing bleeding.
  • Surgery to GI.
  • Transplant surgery (immunodepression).
Family history
  • Condition in a family member.
  • Hemophilia, von Willebrand's.
  • Sickle cell anemia.
  • Thalassemia.
  • Leukemia (Philadelphia chromosome).
Social history
  • Smoking: ever smoked, how many per day, for how long, type [cigarette, pipe, chew].
  • Alcohol (B12 deficiency).
  • Origin (Mediterrannean: thalassemia).
  • Diet (B12, iron deficiency).
  • If AIDS suspected: sexual lifestyle. 
  • Who is with you there at home.
Drug history
  • Drug currently taking.
  • OTC's, esp. NSAIDs (bleeding).
  • Anticoagulant therapy.
  • Steroids (infections s/e).
  • Vitamins, supplements, esp. Iron, B12.
  • Allergies.
  • Drug allergies.

Hematological Exam