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Category Archives: Transfusion
Case 40 – summary
In this case we were able to interpret blood grouping cards, to allow us to determine further management for this pregnant lady. The first sample to interpret was the blood group of the pregnant lady which identified that she was … Continue reading
Posted in Transfusion
Tagged anti-D, blood group, blood product support, blood transfusion, pregnancy
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Case 40 – update 3
The patient continues her pregnancy with no further complications. The baby’s blood group is shown below: what can you deduce from this blood card grouping? any further management for mum? any information regarding the fathers blood group? What other clinical … Continue reading
Posted in Transfusion
Tagged anti-D, blood group, blood product support, blood transfusion, pregnancy
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Case 40 – update 2
Thankfully bleeding has eased, mum and baby are well. What dose of anti-D is required? How is this calculated? Any further tests to help with dosing? Of note she had an antibody screening with booking in bloods which was negative. … Continue reading
Posted in Transfusion
Tagged anti-D, blood group, blood product support, blood transfusion, pregnancy
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Case 40 – update 1
At 26 weeks this patient presents with an antepartum haemorrhage. How would you manage this lady?
Posted in Transfusion
Tagged anti-D, blood group, blood product support, blood transfusion, pregnancy
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Case 40 – the beginning
The first blood sample is taken from a 23 year old lady at her antenatal booking appointment. How do you interpret this blood grouping card? What is the patients blood group? Are there any other considerations for this patient? Answers … Continue reading
Posted in Transfusion
Tagged anti-D, blood group, blood product support, blood transfusion, pregnancy
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Case 34 – summary
This was a varied case centered around an unwell patient with sickle cell anaemia post surgery. There were a number of themes to cover in this case reminding us that patients with sickle cell anaemia can be complex and require … Continue reading
Case 34 – update 4
Our patient with sickle cell anaemia has been investigated for a delayed haemolytic transfusion reaction. However, the reticulocyte count was not elevated and the direct antiglobulin test was not positive as would be expected. Similarly there was no new antibody … Continue reading
Case 34 – update 3
Lots of great suggestions via #teamhaem. Patients with sickling disorders need careful attention when operations are being planned. They should be carefully pre-assesed with involvement of haematologists and anaesthetists. Important points include: Respiratory function post op – high risk of … Continue reading
Case 34 – update 2
We have a patient with sickle cell anaemia post op who is now more anaemic. She also has a sickle cell crisis with abdominal pain. She has a rather elevated CRP which may be post op or due to the … Continue reading
Case 34 – update 1
Thanks for all of the great contributions on Twitter via #teamhaem We have initiated basic treatment for patients with a potential sickle cell crisis: Oxygen if hypoxic Hydration Analgesia Keep warm Low threshold for antibiotics Septic screen Our patients investigations show: … Continue reading
Case 30 – summary
We have established that our newborn baby with an intracranial haemorrhage has a low platelet count and have debated the likely cause for this. The list of differentials include: Maternal ITP (Immune thrombocytopenic purpura: autoimmune destruction of platelets) which can … Continue reading
Posted in Paediatric haematology, Platelet disorders, Transfusion
Tagged NAIT, paediatrics, platelets, thrombocytopenia
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Case 30 – update 1
So, we have a neonate with an intracranial haemorrhage, diagnosed after birth due to decreased responsiveness. You had a number of questions for mum and suggestions for tests, including: HISTORY: Medications taken during pregnancy: only folic acid. Unexplained bleeding in … Continue reading
Posted in Paediatric haematology, Platelet disorders, Transfusion
Tagged paediatrics, thrombocytopenia
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Case 30 – the beginning
And we don’t mean we’ve only just entered our 4th decade (we wish!) but that we are now on to our 3oth case. So far we’ve covered a massive range of topics, from common conditions to the truly obscure, neonatal medicine … Continue reading
Posted in Paediatric haematology, Platelet disorders, Transfusion
Tagged paediatrics, thrombocytopenia
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Morphology – case 5 (summary)
Thanks for all of your responses. The full blood count of our patient showed Hb 82g/L, PLT 34×10*9/L, WCC 6.2×10*9/L, neuts 0.34×10*9/L. The film showed abnormal leukaemic blast cells which are occasionally bilobed and heavily granulated with stacks of Auer … Continue reading
Posted in Acquired bleeding, Acute leukaemia, Laboratory morphology, Transfusion
Tagged ATRA, auer rods, faggot cell, pancytopenia, PML:RARA, t(15:17)
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