Case 85 – the beginning

Welcome to our new case. We need your help urgently.

Our patient is a 55 year old man who is drowsy and confused. His friend is extremely worried and has brought him to the Medical Admissions Unit front door for help.

Our patient has been a bit muddled for a few days but is now barely responding to voice and is snoring loudly. His friend reports that our patient does not drink any alcohol, he does not take any recreational drugs or regular prescription medications.

Yesterday, our patient mentioned to his friend that he has an urgent Haematology clinic appointment next week – but his friend is not sure why.


  • How would you further assess our patient?
  • What initial investigations would you perform?

Join us on Twitter @TeamHaem and let us know what your thoughts are, what questions you have and what you want to do, as we see this case evolve over the next week. Remember to use #teamhaem on all your posts to help us follow the case!

Please note, TeamHaem cases 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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