Case 103 – the beginning

Welcome to this week’s teamhaem case!

This week we start with a 50 year old lady who has presented to A&E complaining of feeling tired and she has, over the previous couple of days, noticed blood in her urine, however this has now stopped.

Bloods

Hb 77g/l

Plt 200

Wcc 11

Neuts 5

She is transferred to the urology ward where she is transfused 2 units of blood. After the 2nd unit of blood our patient began to feel unwell and had a rigor. She remained haemodynamically stable. She was assessed by the urology team and started on antibiotics. They have also taken some bloods to check for transfusion reaction.

What types of transfusion reactions are there? What investigations would you do if a transfusion reaction were suspected?

What questions would you like to ask about our patient’s history?

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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