The patient has swinging fevers up to 39oC overnight and is reviewed my the consultant on the post take ward round.  The consultant has listened to #teamhaem and a number of investigations are in progress.  These include: B12, folate, HIV, hepatitis B&C, CMV, EBV, percentage conjugated  bilirubin, retics, sickle cell screen.  Microbiology includes stool MCS and OCP, blood cultures, urine cultures, sputum MCS and AFB if produces.

The consultant notes a mildly enlarged spleen and liver but no other peripheral lymphadenopathy.  A viral infection is suspected.

Coag results reveal:

PT 15 (12-14s)

APTT 32 (25-32s)

Fibrinogen 0.8

The above should keep us interested!

He has a blood film done.

Questions

• What do you think of the film?

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