Category Archives: Related to other specialities

Case 48 – UnofficialCSIM2 – oncology week

Hi to all those joining us from #unofficialCSIM2. To remind our usual teamhaem-ers again – the #unofficialCSIM2 project is aimed at 4th year medical students. Whilst everyone’s input is appreciated, it would be helpful if those of you with more … Continue reading

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Case 47 – summary

Thank you for all your help with this weeks case! We have had some very helpful renal input this week! This week we looked at the case of a normally fit 60year old gentleman who presented with peripheral oedema and … Continue reading

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Case 47 – the beginning

Welcome to our new case! This week we start in a GP surgery. Our patient is a 60 year old gentleman who has come to see you with some ankle swelling.  He saw your partner 4 weeks ago with the … Continue reading

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Case 45 – summary

This case dealt with two relatively common problems. We had a pregnant patient who was both iron deficient and thrombocytopenic. 1) Iron deficiency in pregnancy Anaemia in pregnancy is fairly common. There can be a 45% increase in plasma volume which will … Continue reading

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Case 45 – update 4

The iron deficiency anaemia has resolved. A ferritin was checked (although not technically necessary) and it was reassuringly well within the normal range indicating adequate iron stores. Now the issue is she is thrombocytopenic in week 36: Hb 118g/L MCV … Continue reading

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Case 45 – update 3

The blood film in the earlier post has been reported as : “Microcytic anaemia with no specific features of iron deficiency or haemoglobinopathy; suggest check iron status” The HPLC shows no variant haemoglobin and the HbA2 is within normal limits … Continue reading

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Case 45 – update 2

So far we have a pregnant lady who is feeling tired and has a microcytic anaemia. It is likely she has iron deficiency. Her family origin questionnaire is done as part of antenatal screening and she states that she is … Continue reading

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Case 45 – update 1

So far we have a women who is 11 weeks pregnant and feeling tired and out of sorts. She has a microcytic anaemia and a borderline platelet count. Firstly let’s think about the anaemia. The two most common causes of … Continue reading

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Case 45 – the beginning

You are in a GP surgery as the GP registrar. A 24 year old female complains of feeling tired. She is eleven weeks pregnant and was due her ‘booking visit’ by the midwife in a one week’s time. She has … Continue reading

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Case 41 – summary

This case highlighted the investigation of a patient with eosinophilia.  Eosinophilia can occur in 1-1.5% of blood counts in the UK.  Eosinophils  develop in the bone marrow and IL-3, IL-5 and GM-CSF are essential for their differentiation. Sometimes solid tumours can … Continue reading

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Case 41 – update 4

For the start of the case and the first and second updates scroll below (and also look at #teamhaem on Twitter for any relevant comments)… To summarise – our patient has significant eosinophilia with a non-itchy maculopapular rash, splenomegaly and symptoms … Continue reading

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Case 41 – update 3

For the start of the case and the first and second updates scroll below (and also look at #teamhaem on Twitter for any relevant comments)… Our patient has progressive eosinophilia of unknown cause (eosinophils 9.2×109/L (0-0.5)). He now has respiratory symptoms … Continue reading

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Case 41 – update 2

For the start of the case and the first update scroll below (and also look at #teamhaem on Twitter for any relevant comments)… Our patient has mild eosinophilia (eosinophils 1.5×109/L (0-0.5)) with the rest of the count being rather unremarkable and no … Continue reading

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Case 41 – update 1

Thanks for your great suggestions so far on #TeamHaem. The case started here and this is the first update. Our patient has had a routine full blood count done as part of a ‘health check’. It should a mild eosinophilia … Continue reading

Posted in Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities | Tagged , , | 1 Comment

Case 41 – the beginning

Welcome back to #TeamHaem. You are a GP reviewing a patient’s full blood count. The reason for request was ‘routine health check’. The patient is a 45 year old male and you can see he has a past medical history … Continue reading

Posted in Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities | Tagged , , | 3 Comments

Case 39 – summary

.The final part of our case was dedicated to discussing what tests, if any, should be requested on a patient presenting with an unprovoked VTE (uVTE). Clearly there are many other topics in the field of ‘clots and cancer’ that … Continue reading

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Case 39 – update 2

In the last few days we have established that the 74 year old man with a confirmed DEEP vein thrombosis (in the superficial femoral vein – see this link for discussion of this misnomer: http://jama.jamanetwork.com/article.aspx?articleid=389874). He has had significant indigestion … Continue reading

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Case 39 – update 1

One of the team has written a fantastic summary of differentials and points to consider in the history and examination: thanks olitodd1984! Please see his comments below: Rule out infection– in the history ask about fevers, sweats, rigors, loss of appetite. On … Continue reading

Posted in Anticoagulation, Related to other specialities, Thrombosis | Tagged , , , , | 1 Comment

Case 39 – the beginning

Welcome to case 39, a short case exploring DVT/PE management. Sound dull? Well, we’re going to show you why it’s not just a DVT. This case is particularly aimed at: General medics Surgeons Medical students Nursing students Acute medicine practitioners … Continue reading

Posted in Anticoagulation, Related to other specialities, Thrombosis | Tagged , , , , | 2 Comments

Case 38 – summary

Thank you for all your input this week!This case looked at a 32 year old gentleman who was diagnosed with burkitt lymphoma (BL) following a 3 week history of sweats, weight loss and an increasing abdominal mass and splenomegally. He … Continue reading

Posted in Lymphoma, Related to other specialities | Tagged , , | 1 Comment