Author Archives: TeamHaem

About TeamHaem

Online education and discussion about all things haematological

Case 105 update 2

Our patient was discussed at MDT and as many have suggested, he is treated with intensive chemotherapy. MATRIX – HD MTX, cytarabine, thiotepa and rituximab is the current regime recommended in the UK.  Intrathecal chemotherapy is not advocated in the BSH … Continue reading

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Case 105 update 1

MRI performed at the tertiary centre showed no evidence of a cerebral lesion.  You therefore plan with the neurosurgical team to stop the steroids and repeat the MRI after a short interval (2-4 weeks) whilst monitoring the patient closely.   … Continue reading

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Case 105

Welcome back! During your on call as the haematology registrar on the 2nd January you are contacted by the neurosurgical team.  A 54 year gentleman had been referred into the tertiary centre from a local hospital over the Christmas holidays.  … Continue reading

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CASE 105 – summary

Primary CNS lymphoma   1% of all non Hodgkin lymphomas, 3 % of all brain tumours.  It may [resent with a range of symptoms including focal motor deficits and behavioural change as seen in the patient in this case.   … Continue reading

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Christmas quiz

Thankyou for taking part in our Christmas quiz! Here are the questions and answers! 1. Which animals have: • Blue blood • Green blood • Yellow blood 2. The Japanese traditionally associate blood groups with personality. Can you match them … Continue reading

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TeamHaem saves Christmas 🎄- the summary

“A DOAC, dear sir, and some stockings to boot!” “Thank you dear doctor, now off I must shoot!” “Take it easy!” I called as he jumped up tall, “We’ll review you in clinic, here’s a helpline to call.   Please … Continue reading

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TeamHaem saves Christmas 🎄- Part 3

‘Has anything changed since this time last year? Any illnesses or weight loss? Tell me all, do not fear!’   Coyly he blushed as red as his suit ‘I’m afraid the answer is hidden by my boot’   Mrs Claus … Continue reading

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TeamHaem saves Christmas 🎄- Part 2

His eyes twinkled like stars, his sats 92, “You must let me home I have work to do!”   I have no time to lounge around here, Who is going to train and feed the reindeer?”   “Do you fly … Continue reading

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Team Haem saves Christmas 🎄 – Part 1

Twas the week before Christmas and all through the lab not an analyser was stirring, ten winks I did grab.   When then from my call phone there arose such a clatter, I sprang from my bench to see what … Continue reading

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Case 103 – summary

Thankyou for your help with this week’s case! Our patient has an intravascular transfusion reaction which was likely due anti C with undetectable antibodies. Red cell phenotyping of the patient and the transfused red cells help identify the likely antibody. … Continue reading

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Case 103 – update 2

We think our patient may have had an intravascular haemolytic transfusion reaction, although our negative investigations so far are unusual. The patient’s Hb is now around 55g/l. The creatinine is now around 500umol/l. Bilirubin is now 20 and haemoglobinuria resolves … Continue reading

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Case 103 – update 1

We have found out that our patient has just started adjuvant chemotherapy for breast cancer following surgery. Five days prior to admission she had a 2 unit blood transfusion, which had no immediate complications. She had no transfusions prior to … Continue reading

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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 … Continue reading

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Case 102 – The Summary

  Thank you for all the contributions to the case this week! This week we discussed a 29 year old lady who presented with an extensive left arm DVT. She had been on the COCP for 2 years. Further investigations … Continue reading

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Case 102 – Update 3.

We now have further results for our 29 year old female who presented with an extensive left arm DVT and SOB. She was commenced on therapeutic LMWH. This thrombosis was provoked as she has been found to have a 11cm … Continue reading

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Case 102 – Update 2.

Thanks for everyone’s contributions! We have been discussing the management of a predominantly idiopathic upper limb DVT in our young lady on the combined OCP. She is on therapeutic LMWH and currently continues on the combined OCP. However, your requested … Continue reading

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Case 102 – Update 1.

Thanks for everyones contributions! Following everyone’s suggestions we now know that this 29 year old with an extensive upper limb DVT, has been short of breath over the past few weeks and non-specifically unwell. She has been on the combined … Continue reading

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Case 102 – The Beginning

Welcome to the new #TeamHaem Case! You are working in the acute medical day unit. A 29 year old female has been referred in with a week long history of progressive left arm swelling. An ultrasound has confirmed an extensive … Continue reading

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Case 101 – summary

This is a case of super warfarin overdose. It was complicated by the lack of accurate history from the patient due to presentation with an intra cranial haemorrhage. Super warfarin are easily available as rodenticides. The most common in the … Continue reading

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Case 101 – update 3

Further history is sort and her partner confirms the presence of rat poison in the house. Repeat factor levels show: Factor II – 24%                         Factor VII – 9% Factor … Continue reading

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