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Tag Archives: iron deficiency
Case 90 – summary
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
Case 90 – update 4
Here is the antibody panel. Can you identify the antibody?
Case 90 – update 3
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
Case 90 – update 2
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
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Case 90 – update 1
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
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Case 90 – the beginning
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
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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
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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
Case 61 – summary
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
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Case 61 – update 2
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
Posted in Acquired bleeding, Platelet disorders
Tagged bleeding, easy bruising, iron deficiency, ITP, microcytosis, thrombocytopenia
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