Case 23 – 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 medical team in the admissions ward.  You are referred a patient by a local GP with the following letter:

Dear medical registrar

Thanks you for accepting this 31 year old female who has had a swollen right calf for the last three days.  It is painful and the skin appears red.  Except for occasional thrush and gastritis she is normally fit and well.  She takes omeprazole 10mg per day and has no allergies.  I am concerned about a DVT and have performed a point of care test for d-dimer and it is positive.  She went to Ibiza six months ago but has not had any other foreign travel.

Kind regards

Dr Smith

GP

Questions

  • What is the initial management of this patient?

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

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Online education and discussion about all things haematological
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