Category Archives: Bone marrow failure
Case 77 Summary Thanks to everyone who contributed to the case this week. Our case started with a blood film to test our morphology skills. We picked up that the blood film showed: Dysplastic neutrophils Blasts NRBCs Tear … Continue reading
Bone marrow results: 13% blasts evidence of dysplasia in the erythroid and myeloid cell lines Cytogenetics:trisomy 8 How would you classify this patient? What would be your approach to management?
So far, we have a 54 year old male who is pancytopenic. He demonstrates features of myelodysplasia on blood film. we have not had any clinical details, but most have suggested admission which does not seem unreasonable given the patients … Continue reading
Let’s start this case with a blood film. Can you describe the findings on the film? What information would you like as the registrar reviewing the film? Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem … Continue reading
Haematological emergencies Patient A presented with an episode of neutropenic sepsis. As a junior you should be suspicious of someone being neutropenic if they have had recent chemotherapy (usually within the past 1-2 weeks). Reviewing patients previous blood results … Continue reading
Patient A has been with us for 48hrs. He stabilised with the prompt treatment delivered on admission, but has spiked a temp in the last 12 hours. His hickman line is still in situ. He was anaemic on admission … Continue reading
This week our aim is to develop a few short cases based on emergencies in haematology. The case will be mostly aimed at junior doctors and medical students, timing with the transition of juniors in UK to new rotations this … Continue reading
Thank you to those of you who joined in with this case; we hope it was a useful and enjoyable way to learn. We covered a few important topics during the case: the differential for a macrocytic anaemia Investigating macrocytosis … Continue reading
Mr Ordie was referred to Haematology clinic after his initial investigations were unremarkable. Bhy this point his Hb was 85g/l with an MCV of 114fl, platelets of 107. A bone marrow biopsy was performed, which showed: . IMAGE: dysplastic red … Continue reading
Thanks for all your hard work so far. We’ve established that Mr Ordie has a macrocytic anaemia with normal thyroid function tests, normal B12 and folate and no significant alcohol history. He takes methotrexate and folic acid for rheumatoid arthritis. Methotrexate … Continue reading
NB To our lonstanding teamhaemers: this week’s case is for medical students. Whilst we may call on some of the usual team to help us out, for now please observe without speaking! Thanks in anticipation.
Case 28 explored the differential diagnoses to be considered when faced with a patient with pancytopenia. We worked through a number of differentials during the case – see the previous update. However we concluded that our patient seemed to have … Continue reading
We had a busy week this week, but have established a diagnosis of Aplastic Anaemia for our young woman. Please see our latest storify if you are interested in our how our discussion evolved (https://storify.com/TeamHaem/case-28) although I will summarise below: … Continue reading
So our young woman is in A&E/ED. We have established the following: She has been a little tired and anorexic lately. She had a sore throat 2 weeks ago and received amoxicillin. She only took the pills for 4 days … Continue reading
A 25 year old woman attends A&E complaining of lethargy and dyspnoea. She denies any cough or sputum and examination and CXR are clear. She has a temperature of 39 and small lymph nodes are palpable throughout the cervical chains … Continue reading