Category Archives: Chronic leukaemia

Case 12 – update 1

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

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Case 12 – the beginning

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

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Case 3 – summary

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

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Case 3 – update 4

The result of your aspirate – what is the diagnosis? What is your management plan?

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Case 3 – update 3

Here’s the trephine to help…

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Case 3 – update 2

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

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Case 3 – update 1

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

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Case 3 – the beginning

A full blood count is taken on a 75 year old patient with the clinical detail ‘birthday bloods’. It reveals a Hb of 13, WCC of 9 with a lymphocyte count of 6.8, platelets of 298. Film morphology is consistent … Continue reading

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