Case 25 – the beginning

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A 62 year old gentleman attends his general practitioner with feeling generally unwell for a few weeks. He is lacking in energy, has fatigue and is not eating along with loosing weight. He’s had a fever on and off. The patient is obese making the examination difficult but he does appear pale.  Blood tests a few days later reveal:

  • Hb 89g/L
  • MCV 92fL
  • WCC 1.7×10*9/L
  • Neuts 0.9×10*9/L
  • Platelets 94×10*9/L

This patient is at home and the results are phoned through to the practice by the haematology lab.


  • What is your approach?
  • Does this patient need immediate admission?
  • What further information would be helpful at this stage?

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

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Online education and discussion about all things haematological
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2 Responses to Case 25 – the beginning

  1. Pingback: Case 25 – update 1 | TeamHaem

  2. Pingback: Case 25 update 3 | TeamHaem

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