Case 21 – the beginning

Welcome to #teamhaem! For those of you who are new – welcome! The case will evolve over the next week or so, depending on the information you want and suggest.  Just follow us and the hashtag #teamhaem on twitter – we look forward to hearing from you!

You are the emergency medicine SHO reviewing a 29 year old female who has attended feeling unwell, with a rash.  She is six days post-partum having delivered a healthy baby boy by normal vaginal delivery.  She also has some blood blisters in her mouth and had ongoing per vaginal bleeding. A part from being overweight she is otherwise fit and well.  The senior biomedical scientist calls you worried about the full blood count:

Hb 84g/L

MCV 76fL

WCC 12.8×10*9/L

Platelets 7×10*9/L

Questions:

What immediate investigations would you do?

What further questions would you ask?

What emergency treatment would you instigate in the emergency department?

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 Anaemia, Platelet disorders, Related to other specialities, Transfusion and tagged , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s