Case 101 – the beginning

Welcome to the new #TeamHaem Case!

You are a medical doctor working in a busy emergency department.

You are called to review a 34 year old woman who has been brought in by ambulance.  She was found by her partner lying on her sofa confused and disorientated.

There are no signs of external injury.  Her Glasgow Coma Score is 11.  An urgent CT head is performed and shown below:

Subdural1 (1)

Initial blood tests show:

  • Hb 102  g/l
  • MCV 87 fl
  • WCC 12.5 x 109/l
  • Platelets 301 x 109/l
  • PT 123 seconds
  • APTT 98 seconds
  • Fibrinogen 7 g/L

Questions:

1. How do you interpret these results?

2. What further history and investigations would you like?

3. What immediate management would you suggest?

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 – 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.

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Online education and discussion about all things haematological
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