Tag Archives: iron deficiency

Case 90 – summary

Posted on 16/03/2018 by TeamHaem

We started with a 74 year old gentleman who was admitted with weight loss, fatigue and change in bowel habit. A mass in the right iliac fossa was palpated and a colonic malignancy was suspected. He had thrombocytosis with microcytic indices … Continue reading →

Posted in Anaemia, Laboratory morphology, Transfusion | Tagged anaemia, antibody panel, Blood film, blood transfusion, CXR, DAT, Delayed transfusion reaction, haemolysis, iron deficiency, TACO, transfusion reaction | Leave a comment

Case 90 – update 4

Posted on 15/03/2018 by TeamHaem

Here is the antibody panel. Can you identify the antibody?

Posted in Anaemia, Laboratory morphology, Transfusion | Tagged anaemia, antibody panel, blood transfusion, DAT, Delayed transfusion reaction, haemolysis, iron deficiency, transfusion reaction | Leave a comment

Case 90 – update 3

Posted on 14/03/2018 by TeamHaem

Our patient is one week post two units of blood and his haemoglobin is back to baseline and has hyperbilirubinaemia. LDH is elevated and haptoglobins are absent. Blood film shows spherocytes. Here is the antibody screen Questions (For fun!) can … Continue reading →

Posted in Anaemia, Laboratory morphology, Transfusion | Tagged anaemia, antibody panel, Blood film, blood transfusion, DAT, Delayed transfusion reaction, haemolysis, iron deficiency, transfusion reaction | Leave a comment

Case 90 – update 2

Posted on 13/03/2018 by TeamHaem

Our patient is treated for potential pulmonary oedema associated with blood transfusion (transfusion-associated circulatory overload). The differential was TRALI but given its rarity and the patient’s observations (hypertension and a positive fluid balance) TACO was felt to be more likely. … Continue reading →

Posted in Anaemia, Transfusion | Tagged anaemia, blood transfusion, CXR, Delayed transfusion reaction, haemolysis, iron deficiency, TACO, transfusion reaction | Leave a comment

Case 90 – update 1

Posted on 12/03/2018 by TeamHaem

Our patient has deteriorated towards the end of a two unit transfusion. He is short of breath and more hypoxic compared to previous. Observations are below: Before unit one Towards end unit two Pulse 72bpm 98bpm Blood pressure 100/70mmHg … Continue reading →

Posted in Anaemia, Transfusion | Tagged anaemia, blood transfusion, CXR, iron deficiency, TACO, transfusion reaction | Leave a comment

Case 90 – the beginning

Posted on 11/03/2018 by TeamHaem

A 74 year old male is admitted to hospital with weight loss, fatigue and change in bowel habit. He is pale and a mass is palpated in the right iliac fossa. A full blood count is performed: Hb 72g/l MCV … Continue reading →

Posted in Anaemia, Transfusion | Tagged anaemia, blood transfusion, CXR, iron deficiency, TACO, transfusion reaction | Leave a comment

Case 79 – summary

Posted on 22/06/2017 by TeamHaem

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 | Leave a comment

Case 79 – update 2

Posted on 21/06/2017 by TeamHaem

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

Posted on 19/06/2017 by TeamHaem

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 →

Posted in Inherited bleeding | Tagged bleeding, epistaxis, iron deficiency | Leave a comment

Case 79 – the beginning

Posted on 18/06/2017 by TeamHaem

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 →

Posted in Inherited bleeding | Tagged bleeding, epistaxis, iron deficiency | Leave a comment

Case 66 – summary

Posted on 22/10/2016 by TeamHaem

Thanks for all who have been involved in this week’s case. We reviewed the causes of thrombocytosis in general and also applicable to pregnancy. Causes of thrombocytosis are usually reactive or secondary to another cause: Blood loss Infection/inflammation Malignancy Thrombopoietin … Continue reading →

Posted in Myeloproliferative neoplasm, Related to other specialities, Thrombosis | Tagged DVT, essential thrombocytosis, iron deficiency, JAK2, LMWH, myeloproliferative, pregnancy, Thrombocytosis, thrombosis, venous thromboembolism | Leave a comment

Case 66 – update 3

Posted on 19/10/2016 by TeamHaem

Our patient is diagnosed with essential thrombocythaemia/thrombocytosis (JAK2 V617F positive) and is started on aspirin 75mg od. At 28 weeks she has a painful swollen left leg. It is hot and tender. An ultrasound confirms a deep vein thrombosis. … Continue reading →

Case 66 – update 2

Posted on 18/10/2016 by TeamHaem

All reactive causes of thrombocytosis have been ruled out and our pregnant patient has a persistently elevated platelet count of 500×10*9/L. There is no history of VTE or miscarriage. There are no systemic symptoms such as weight loss, rash or … Continue reading →

Posted in Myeloproliferative neoplasm, Related to other specialities, Thrombosis | Tagged essential thrombocytosis, iron deficiency, JAK2, myeloproliferative, pregnancy, Thrombocytosis | Leave a comment

Case 61 – summary

Posted on 16/07/2016 by TeamHaem

Thank you for all your help this week! This week we looked at a case of childhood ITP. Our patient presented with easy bruising over a 3 week period, and had had a minor urti the previous month. The patient … Continue reading →

Posted in Acquired bleeding, Platelet disorders | Tagged bleeding, easy bruising, iron deficiency, ITP, microcytosis, thrombocytopenia | Leave a comment

Case 61 – update 2

Posted on 14/07/2016 by TeamHaem

So time for another update! Our patient has been started on oral iron for a iron deficiency anaemia. Given that she only has some bruising and a slight petechial rash the decision has been made to monitor her, but not … Continue reading →