Case 13 – the beginning

You are the surgical house officer and you are managing a 49 year old male who was admitted for an elective left hemicolectomy for colorectal cancer.  He has a past medical history of hypertension and hypercholesterolaemia.  He is an ex-smoker of 18 months.  Post operatively he suffers from pneumonia which is treated with antibiotics.  You are worried about his full blood count and the surgical registrar recommends a haematology referral.

  • Hb 91g/L
  • MCV 88fL
  • WCC 14.2×10*9/L
  • Neutrophils 12.2×10*9/L
  • Platelets 657×10*9/L

Questions:

  • What are your thoughts?
  • What else would you do?
  • Further information needed?
  • If you were the haematology registrar what would you advise?

Please reply on Twitter and include #TeamHaem

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems 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

About TeamHaem

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

One Response to Case 13 – the beginning

  1. Pingback: Case 13 – update 3 | TeamHaem

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