Category Archives: Chronic leukaemia
As the GP, you take a good history from the patient. He is a 48 year old, white british man, previously fit and well. Over the past few months, he has been very lethargic. He has been managing to work fulltime, … Continue reading
Working as a GP, you review a 48 year old man. He complains of symptoms of fatigue and abdominal discomfort. On examination you find splenomegaly. How do you proceed? Please reply on Twitter and always include #teamhaem to allow others … Continue reading
Issues raised during this case: * Comments written on a new probable CLL film: most people tell the GP that the patient probably has CLL and suggest GPs should discuss patients with nodes or splenomegaly. Most people suggest repeating the … Continue reading
The result of your aspirate – what is the diagnosis? What is your management plan?
In the clinic youe establish that the sweats are not likely to be due to lymphoma (brief, non-drenching, day and night and not a major issue for the patient). You discuss the pros and cons of prognostic testing and in … Continue reading
The GP for this patient refers her to the outpatient clinic when bloods, repeated at 3 months, showed the lymphocyte count had increasd to 14. The patient also complained of sweats. Question: Medical students/junior docs – How do you decide … Continue reading