Case 7 – update 1

Some of the differentials so far

  • Acute leukaemia
  • HUS
  • WAS (Wiskott–Aldrich syndrome)
  • ITP
  • Autoimmune condition e.g.lupus
  • Viral e.g. hep B/C, HIV

Luckily local measures have stopped the bleeding.  His obs are as follows BP: 110/80, pulse 105bpm, resp 20rpm, SpO2 98% room air, temp 37.9oC.  Bloods are as follow:

  • PT 11 s
  • APTT 35
  • Fib 5.9
  • Na 139, K 4.2, creat 109, urea 9.9
  • albumin 40, ALP 90, ALT 24, Bili 39
  • Ca 2.34 (adj)
  • FBC – differential shows neutrophilia
  • Film – awaiting comment from Haem SpR

Questions:

  • Does this change your differential diagnosis?
  • What is your management now?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. This case is designed particularly with non-haematologists in mind so please join in the debate and learn about haematological emergencies along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and debate rather than to provide medical advice.

 

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Acquired bleeding, Anaemia, Platelet disorders, Related to other specialities and tagged , , , , . Bookmark the permalink.

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