NCCN Guidelines for Patients® | Chronic Myeloid Leukemia

14 NCCN Guidelines for Patients ® : Chronic Myeloid Leukemia, 2018 Your doctor may think you have a blood cancer. Part 2 describes the tests used to diagnose CML and plan treatment. Some of these tests may also be used to check treatment results. Medical history Your medical history includes any health events and medicines you’ve taken in your life. You will be asked about illnesses, injuries, health conditions, and more. It may help to make a list of old and new medications while at home to bring to your doctor’s office. Some cancers and other health conditions can run in families. Thus, your doctor will ask about the medical history of your blood relatives. You doctor may ask about the health of your siblings, your parents and their siblings, and your grandparents and their siblings. Be prepared to tell who in your family has had what diseases and at what ages. A medical history is needed for diagnosis and treatment planning. See Guide 1 for a complete list of care that is advised prior to treatment. Physical exam Doctors often perform a physical exam along with taking a medical history. A physical exam is a study of your body for signs of disease. To start, your basic body functions will be measured. These functions include your temperature, blood pressure, and pulse and breathing (respiration) rate. Your weight will also be checked. During the exam, your doctor will listen to your lungs, heart, and gut. Your doctor will also look at and feel parts of your body. This is done to see if organs are of normal size, are soft or hard, or cause pain when touched. Cancer and other health conditions can cause organs to become enlarged and hard. With CML, your spleen may be larger than normal. The spleen is a small organ to the left of your stomach. It filters blood, stores blood cells, and destroys old blood cells. 2 Testing for CML Medical history | Physical exam