NCCN Guidelines for Patients® | Chronic Myelogenous Leukemia - page 12

NCCN Guidelines for Patients
: Chronic Myelogenous Leukemia
Version 1.2014
2.1 General health tests
Medical history
Before and after cancer treatment, your doctor will
assess your medical history. Your medical history
includes any health events in your life and any
medications you’ve taken. Your doctor will ask about
any symptoms and health conditions that you have had.
This information may affect which cancer treatment is
best for you. It may help to make a list of old and new
medications while at home to bring to your doctor’s office.
Physical exam
Doctors usually perform a physical exam along with
taking a medical history. A physical exam is a review of
your body for signs of disease. During this exam, your
doctor may listen to your lungs, heart, and gut. Your
doctor may also feel different parts of your body to see if
organs are of normal size, are soft or hard, or cause pain
when touched.
A key part of the physical exam is assessing the size of
your spleen. Your spleen is located on the upper, left part
of your belly area (abdomen) underneath your ribs. The
spleen filters blood, stores blood cells, and destroys old
blood cells. A normal-sized spleen typically cannot be felt
during a physical exam. But, the spleen can be felt when
it is enlarged. CML may cause an enlarged spleen due to
extra blood cells being stored in this organ.
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