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Tag Archives: epistaxis
Case 100 (part D) – summary
The patient had mild thrombocytopenia and has suffered epistaxis. Epistaxis is relatively common and therefore structural causes should also be looked into. This is especially so if the nose bleeds are unilateral. There is a wide differential of why someone … Continue reading
Case 100 (part D) – update
You repeat the FBC and it shows similar results Hb 141g/l (130-180) MCV 89fl (82-98) WCC 7.5×109/l (4-11) Neutrophils 4.7×109/l (1.7-7.5) Lymphocytes 2.1×109/l (1.5-4.5) Platelets 70×109/l (150-450) Coagulation screen – normal U&E/LFT – normal Blood film: Questions What is the … Continue reading
Case 100 (part D) – the beginning
You are a GP evaluating a 12 year old boy with persistent nose bleeds. He otherwise feels well with no past medical history. He is on no medications. FBC shows: Hb 140g/l (130-180) MCV 90fl (82-98) WCC 8.5×109/l (4-11) Neutrophils … Continue reading
Case 79 – summary
Thankyou for your help this week! This week we had a look at HHT. Our patient was diagnosed with HHT aged 30 after a history of epistaxis was noted. On further questioning she was also found to have cutaneous telangectasia. … Continue reading
Posted in Inherited bleeding
Tagged bleeding, epistaxis, hereditary haemorrhagic telangectasia, HHT, iron deficiency
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Case 79 – update 2
We have found out our patient has HHT. We know she has epistaxis, and cutaneous telangectasia. She has also required courses of iron for iron deficiency, and is currently anaemic. Patients with HHT may develop AVM and some teamhaem follower … Continue reading
Posted in Inherited bleeding
Tagged bleeding, epistaxis, hereditary haemorrhagic telangectasia, HHT, iron deficiency
Leave a comment
Case 79 – update 1
So we have an update Our patient has presented with a long history of epistaxis. There is no history of easy bruising. No bleeding after tooth extraction Her mother died of a brain haemorrhage and also had significant history of … Continue reading
Case 79 – the beginning
Welcome to our new case! This week we start with a 30 year old lady who has come to her GP for a routine discussion for the contraceptive pill. In her medical history you note that she has had significant … Continue reading