Tag Archives: CLL

Case 88 – summary

Morphology week summary. Case A     Our followers were correct in suggesting these were plasma cells, one of which is binucleate on the second picture.  Thrombocytopenia was also noted.  This would be in keeping with a diagnosis of plasma … Continue reading

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Case 88 – parts C and D: update

Flow cytometry results. Not true to life I know but just for a bit of fun and test our morphology and flow skills….. The following results are for our two patients- what is the diagnosis for each? Which results goes … Continue reading

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Case 88 – parts C and D

You are reviewing the blood film tray and a further two patients are noted to have lymphocytosis Case C Hb 96 g/L WCC 34 (10^9/L) Case D Hb 100 g/L WBC 23 (10^9/L) Can you describe the findings? Do they … Continue reading

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Case 50 part 1 -summary

Thanks for all of the contributions. The marrow showed erythrophagocytosis. This can be a sign of autoimmune haemolytic anaemia. In particular it can be seen in paroxysmal cold haemoglobinuria. We were slightly mean and didn’t show the rest of the … Continue reading

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Case 50 part 1 – update

We were reviewing the marrow smear from an elderly gentleman with weight loss and macrocytic anaemia. Further results include: Reticulocyte count 276×10*9/L Bilirubin 54ug/L LDH 1056U/L DAT IgG 4+   The above is consistent with warm autoimmune haemolytic anemia. The … Continue reading

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Case 50 part 1 – the begining

This week we will be doing some short cases based around some pictures. Each case will last around 24-36 hours, so get in quick!  As always – the information is posted here and the discussion will be on Twitter. Follow … Continue reading

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Case 3 – summary

Issues raised during this case: * Comments written on a new probable CLL film: most people tell the GP that the patient probably has CLL and suggest GPs should discuss patients with nodes or splenomegaly. Most people suggest repeating the … Continue reading

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Case 3 – update 4

The result of your aspirate – what is the diagnosis? What is your management plan?

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Case 3 – update 3

Here’s the trephine to help…

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Case 3 – update 2

In the clinic youe establish that the sweats are not likely to be due to lymphoma (brief, non-drenching, day and night and not a major issue for the patient). You discuss the pros and cons of prognostic testing and in … Continue reading

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Case 3 – update 1

The GP for this patient refers her to the outpatient clinic when bloods, repeated at 3 months, showed the lymphocyte count had increasd to 14. The patient also complained of sweats. Question:  Medical students/junior docs – How do you decide … Continue reading

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Case 3 – the beginning

A full blood count is taken on a 75 year old patient with the clinical detail ‘birthday bloods’. It reveals a Hb of 13, WCC of 9 with a lymphocyte count of 6.8, platelets of 298. Film morphology is consistent … Continue reading

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