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Category Archives: Thrombosis
Case 93 – summary
This case highlighted a number of issues in the management of VTE. 1) The investigation of a patient with newly diagnosed DVT One of the most useful parts in the history taking is the identification of a provoking factor. We … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, cancer, compression hosiery, DVT, IVC filter, recurrent DVT, surgery, thrombosis, VTE
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Case 93 – update 3
Our patient has his d-dimer checked which is positive and has an ultrasound scan of the left leg which has confirmed a clot. On review of the images the clot is more extensive that previously. This combined with the clinical … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, cancer, DVT, surgery, thrombosis
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Case 93 – update 2
We discussed what anticoagulant to start in our patient with a newly diagnosed DVT. There are a number of options and the main ones will include: LMWH then warfarin LWMH then dabigatran Rivaroxaban Apixaban LMWH then edoxaban Various factors … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, compression hosiery, DVT, thrombosis
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Case 93 – update 1
Our patient has a confirmed proximal DVT and we recognised the important points in the clinical evaluation by looking for provoking factors: Malignancy Family history Periods of immobility Recent surgery or hospital stays Hormonal therapy or pregnancy Nephrotic syndrome Autoimmune … Continue reading
Case 93 – the beginning
Welcome to our new #TeamHaem case. You are the acute medicine senior house officer working in ambulatory care. A GP has referred a 58 year old gentleman with left leg swelling and is concerned about deep vein thrombosis (DVT). He … Continue reading
Case 86 – part C2
Thanks for your help with this short case. We examined this blood film of an unwell female: The most striking abnormality is red cell fragmentation. This can be seen in: AIHA/Evans’ syndrome DIC Pregnancy-associated (HELLP, pre-eclampsia, malignant hypertension, fatty liver of … Continue reading
Posted in Laboratory morphology, Platelet disorders, Thrombosis, Transfusion
Tagged FFP, haemolysis, plasma exchange, red cell fragmentation, thrombosis, TTP
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Case 86 – part 3A
A 32 year old female presents with headaches, visual disturbance and fever. Hb 92g/L MCV 99fl Platelets 38×109/l WCC and differential – mild neutrophilia Questions Name some features of the blood film? What are the differential diagnosis? What further investigations … Continue reading
Posted in Laboratory morphology, Thrombosis, Transfusion
Tagged FFP, haemolysis, plasma exchange, red cell fragmentation, thrombosis, TTP
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Case 82 – update 2
Our patient continues to deteriorate and the following investigations are now back: Hb 103, Plts 75, WCC 3.4, Neuts 1.6. Blood film: red cell fragments with infrequent spherocytes and polychromasia. Bili 152 (predominantly conjugated), ALT 54, Alk phos 340. Urea … Continue reading
Case 82 – update 1
Thanks for all the contributions! We now know from the history and investigations requested that: This patient has had no obvious provoking factors for both his previous and current PE – including no symptoms/signs suggestive of autoimmune disorder / maligancy. … Continue reading
Case 82 – the beginning
Welcome to our new case! A 45 year old gentleman is admitted to the medical assessment unit as he has been diagnosed with a large pulmonary embolus (PE) within the right pulmonary artery. He is requiring 2 litres of oxygen … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, DOAC, pulmonary embolism, rivaroxaban
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Case 58 – summary
We covered a lot of issues this week. Here is a link to the case on Storify: https://storify.com/TeamHaem/case-58-teamhaem-does-dvt Our patient was a 37 year old female with left leg swelling. She had no major medical problems and was on no … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, coagulation, d-dimer, DVT, Swollen leg, ultrasound, VTE, wells score
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