Tag Archives: carcinoma

Case 72- summary

Answers A – hereditary elliptocytosis B – hairy cell leukaemia C – metastatic prostate cancer Case A The first case, we started with something relatively straightforward: This was a blood film of a 21 year old pregnant women who was … Continue reading

Posted in Anaemia, Chronic leukaemia, Lymphoma, Related to other specialities | Tagged , , , , ,

Case 72 – case C

Sticking with bone marrow trephine! What do you think of this one? 58 yr old gentleman presents to GP feeling tired.  Bloods show Hb 78, wcc 2.1, platelets 52. Blasts were seen on film, aspirate dry tap.  What other investigations … Continue reading

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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

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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

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Case 31 part 2 – summary

So… we have a leucoerythroblastic film (left shifted granulopoiesis and nucleated red cells) along with tear drop cells. The main differentials the team came up with were: Myelofibrosis (primary or secondary – he did have a haematology past) Metastatic carcinoma … Continue reading

Posted in Haemoglobinopathy, Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities | Tagged , , , | Leave a comment

Case 31 part 2 – update 1

Thanks for all of the suggestions! Here’s a slightly bigger picture of the nucleated red cell and tear drop poikilocytes: The GP tells you the patient used to be under haematology review elsewhere but since moving locally has not been … Continue reading

Posted in Haemoglobinopathy, Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities | Tagged , , , | Leave a comment

Case 31 part 2 – the beginning

This blood film was taken by a local GP as the patient was feeling run down and tired. Hb 95g/L MCV 69fL WCC 14.5×10*9/L PLT 432×10*9/L Questions: Describe the film What is going on? What will you advise the GP? … Continue reading

Posted in Haemoglobinopathy, Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities | Tagged , , , | Leave a comment