Case 45 – update 2

So far we have a pregnant lady who is feeling tired and has a microcytic anaemia. It is likely she has iron deficiency. Her family origin questionnaire is done as part of antenatal screening and she states that she is white and from the UK, as were her and the baby’s father’s parents.  She is also mildly thrombocytopenic (blood count in previous post).  Here is her blood film and HPLC:

Case 45 HPLC

Leica Picture

Questions:

  • How would you report the film?
  • Is the HPLC concerning?
  • What are the benefits of iron replacement?
  • When would you next check her blood count?
  • How much iron do you give?

Please reply to us (@TeamHaem) 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 on Twitter 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 and learning.

About TeamHaem

Online education and discussion about all things haematological
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