Blog Archives

Case 119 – Update 1

We are assisting the dermatology team in their investigation of a 68 year old man, with a longstanding history of eczema, presenting with erythematous, well defined patches and plaques over his trunk and limbs, a 2cm firm lesion on his … Continue reading

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Case 119 – The beginning

Welcome to a new case for TeamHaem! You get a phone call for advice from a dermatology registrar who has seen a 68 year old man in outpatient clinic. The patient has a 20-year history of eczema which has been … Continue reading

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Case 110 – summary

Thankyou for all your help this week This week we had a look at 4 films where there were visible organisms. Film 1 – babesia Film 2 – malaria – p.vivax Film 3 – malaria – p.falciprum Film 4 – … Continue reading

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Case 110 – part 4

Welcome to the last part of this case. You get a phone call from the lab for a patient who has attended a&e. The patient has no fixed abode and has been found collapsed in the steet. They are unable … Continue reading

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Case 110 – part 3

Here is the 3rd part of this week’s case. A patient has come in to a&e very unwell, with fever and has had a seizure whilst in the department. The patient came back yesterday from a trip to Malawi. Hb … Continue reading

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Case 110 – part 2

Welcome to the second part of this week’s morphology based case. A&E have asked for a film for a patient who has come in with fever. Hb 90 plt 50 wcc 15 neuts 8 What does the film show? What … Continue reading

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Case 110 – part 1

Welcome to this week’s case! This week we will have some short morphology cases. Our first case starts with a call from the lab. A patient has attended a&e unwell and the lab have made a film. There is something … Continue reading

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TeamHaem saves Christmas 🎄- the summary

“A DOAC, dear sir, and some stockings to boot!” “Thank you dear doctor, now off I must shoot!” “Take it easy!” I called as he jumped up tall, “We’ll review you in clinic, here’s a helpline to call.   Please … Continue reading

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TeamHaem saves Christmas 🎄- Part 3

‘Has anything changed since this time last year? Any illnesses or weight loss? Tell me all, do not fear!’   Coyly he blushed as red as his suit ‘I’m afraid the answer is hidden by my boot’   Mrs Claus … Continue reading

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TeamHaem saves Christmas 🎄- Part 2

His eyes twinkled like stars, his sats 92, “You must let me home I have work to do!”   I have no time to lounge around here, Who is going to train and feed the reindeer?”   “Do you fly … Continue reading

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Team Haem saves Christmas 🎄 – Part 1

Twas the week before Christmas and all through the lab not an analyser was stirring, ten winks I did grab.   When then from my call phone there arose such a clatter, I sprang from my bench to see what … Continue reading

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Case 103 – summary

Thankyou for your help with this week’s case! Our patient has an intravascular transfusion reaction which was likely due anti C with undetectable antibodies. Red cell phenotyping of the patient and the transfused red cells help identify the likely antibody. … Continue reading

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Case 103 – update 2

We think our patient may have had an intravascular haemolytic transfusion reaction, although our negative investigations so far are unusual. The patient’s Hb is now around 55g/l. The creatinine is now around 500umol/l. Bilirubin is now 20 and haemoglobinuria resolves … Continue reading

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Case 103 – update 1

We have found out that our patient has just started adjuvant chemotherapy for breast cancer following surgery. Five days prior to admission she had a 2 unit blood transfusion, which had no immediate complications. She had no transfusions prior to … Continue reading

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Case 103 – the beginning

Welcome to this week’s teamhaem case! This week we start with a 50 year old lady who has presented to A&E complaining of feeling tired and she has, over the previous couple of days, noticed blood in her urine, however … Continue reading

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Case 98 – summary

Following several obinutuzumab reactions, which resulted in overnight hospital admissions, our patient decided he did not wish to continue with obinutuzumab. He continues on chlorambucil monotherapy and has tolerated it reasonably well and his disease appears to be responding. Thankyou … Continue reading

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Case 98 – part 2 – update 1

We have confirmed progression in our patient’s CLL. There is no evidence of haemolysis. He has a pmh of HTN, diabetes, mild copd and osteoarthritis which limits his mobility. He has an ecog of 2 (was 1 prior to the … Continue reading

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Case 98 – part 2 – the beginning

Thankyou for your help with part 1. Here is the second part of this weeks case. You are in the haematology clinic and are seeing an 82 year old gentleman who was diagnosed with CLL 10 years ago. He has … Continue reading

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Case 98 – part 1 – update 3

Our patient has been started on venetoclax and has had an excellent response. Following discussions with our patient and referral to the transplant team he has decided to go ahead with a sibling allo SCT. What considerations are there for … Continue reading

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Case 98 – part 1 – update 2

Our patient has been diagnosed with CLL and has been found to have deletion 17p on cytogenetics. He has now been on ibrutinib for 15 months. He has tolerated it very well and did get an improvement in his Hb … Continue reading

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