Author Archives: TeamHaem

About TeamHaem

Online education and discussion about all things haematological

Case 120 – Summary!

Thank you for everyone’s contributions this week. We discussed the management of a 57 year old lady who was suffering a major haemorrhage secondary to a road traffic accident. The key points of managing a major haemorrhage (from haem perspective) … Continue reading

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Case 120 – Update 4!

Well done team – with your input I’m pleased to say she has now stabilised and has stopped bleeding!!! To achieve this she has been transfused: 8 units red blood cells 8 units FFP 1 pool of platelets 2 pools … Continue reading

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Case 120 – Update 3!

Thank you for everyone’s ongoing input. Our patient is more haemodynamically stable but continues to have ongoing bleeding. She is now receiving group specific/compatible blood products. She has currently received: 6 units packed red cells. 6 units FFP 1g tranexamic … Continue reading

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Case 120 – Update 2!

Thanks for everyone’s contributions so far! Our 57 year old female patient is haemorrhaging following a road traffic accident. The multidisciplinary team are trying to establish source control of the bleeding. The major haemorrhage protocol has been activated. She has … Continue reading

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Case 120 – Update 1!

Thanks for everyone’s contributions. Following recommendations from yourselves our patient  is being managed by a multidisciplinary team and the major haemorrhage protocol has been activated. The only information the clinical team know about our patients that she is called ‘Betty … Continue reading

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Case 120 – The Beginning!

A 57 year old female is in Accident and Emergency following a road traffic accident. She has multiple injuries including a suspected pelvic fracture. She is haemodynamically unstable (heart rate 130, BP 86/54, oxygen saturations 97%). The clinical team are concerned she … Continue reading

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Case 119 – Summary

 Many thanks for all your great suggestions and contributions this week. We highlighted the multidisciplinary treatment of our patient with mycosis fungoides, who eventually required systemic treatment with brentuximab vedotin for his CD30+ disease. Primary cutaneous T cell lymphoma (CTCL) … Continue reading

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Case 119 – Update 2

Our patient with Stage IIB Mycosis Fungoides was discussed at the relevant MDT and his care remained primarily under the dermatology and clinical oncology service. They instigated topical treatment alongside localized radiotherapy to his tumour site on the right arm. … Continue reading

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Case 119 – Update 1

We are assisting the dermatology team in their investigation of a 68 year old man, with a longstanding history of eczema, presenting with erythematous, well defined patches and plaques over his trunk and limbs, a 2cm firm lesion on his … Continue reading

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Case 119 – The beginning

Welcome to a new case for TeamHaem! You get a phone call for advice from a dermatology registrar who has seen a 68 year old man in outpatient clinic. The patient has a 20-year history of eczema which has been … Continue reading

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Case 118 – the summary

This is a case of a 3 month old infant girl presenting with evidence of haemolysis. Blood film showed irregularly contracted cells, target cells and polychromasia.  The reticulocyte count was raised and direct antibody test (DAT) was negative. This is … Continue reading

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Case 118 – update 2

You ask the paediatrician about the baby’s history and discover: she has never had a blood tranfusion mum does not have an allogenic antibody there is no known family history of haemolysis there are signs of jaundice Further tests show … Continue reading

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Case 118 – update 1

You review a peripheral blood film on the sample (shown below).  What is your differential diagnosis?  What questions to you want to ask the paediatrician?

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Case 118 – the beginning

You’re the oncall haematology registrar and a worried paediatrician rings you about a new patient. Baby A is female infant of 3 months of age.  She has just been brought to accident and emergency by her mother who is concerned … Continue reading

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Case 117 summary

This week we discussed a case of a young gentleman with pancytopenia. Initial investigations for the cause of pancytopenia were undertaken and these included Repeat FBC Blood film Reticulocyte count Haematinics Liver function Viral studies- cmv, hepatitis, HIV, parvo, hepatitis, … Continue reading

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Case 117 update 2

Bone marrow trephine shows a hypocellular trephine throughout the specimen, supporting your suspicion of aplastic anaemia. There are no dysplastic features present There is no evidence of a PNH clone. How would you classify this patient? What are your immediate … Continue reading

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Case 117 update 1

So far our investigations have shown: Normal haematinics Negative viral screen Negative autoimmune screen Blood film – no blasts/no dysplasia. Anisopoikilocytosis Normal LDH Negative abdominal ultrasound Reticulocytopenia Patient has no significant past medical history and is not taking any regular … Continue reading

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Case 117

31 year old man attends GP feeling tired. Bloods show HB 65 Platelets 45 WCC 1.2 What further test would you advise? Immediate management?? Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow … Continue reading

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Case 116 – Summary!

Thank you for everyone’s involvement in the case this week. We discussed a 56 year old man who presented with an acute stroke. This was managed with oral aspirin as his NIHSS score was low at 3 and he presented … Continue reading

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Case 116 – Update 3!

Thank you for everyone’s contributions. Due to his history of renal disease and renal transplant it is important that we consider these as potential secondary causes of polycythaemia. However, taking a thorough history and review of previous blood results has … Continue reading

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