Tag Archives: Acute myeloid leukaemia

Case 69 – part 2 – summary

This patient has a medical emergency. She has pancytopenia with evidence of bleeding. There are abnormal promyelocytes and faggot cells (below) which are indicative of acute promyelocytic leukaemia. Acute promyelocytic leukaemia is a subtype of acute myeloid leukaemia characterised by … Continue reading

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Case 69 – part 2 – the beginning

A 21 year old female presents with epistaxis and bleeding gums and the following blood count: Hb 69g/L Platelets 27×10*9/L WCC 12×10*9/L     Questions What is your immediate management? What tests would you like to perform?   Please reply … Continue reading

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Case 5 – summary

We have established that our patient is profoundly septic and requires quick, effective resuscitation, which should include consultation with our ITU colleagues – a young patient who is decompensating is a particular worry as it is suggestive of how shocked … Continue reading

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Case 5 – update 1

The differential diagnosis is broad with such little information (we reallyneed that white cell differential don’t we?). It would include: Acute sepsis with DIC causing thrombocytopenia (although v anaemic for this alone) Acute leukaemia (lymphoblastic or myeloid – we haven’t … Continue reading

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Case 5 – the beginning

You are working night shifts on A&E/MAU in a rural DGH. A 29-year-old man presents via A&E with a three-week history of cough and fatigue. On examination you note significant pallor and a petechial rash. His tonsils are enlarged and … Continue reading

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