Tag Archives: lethargy

Case 28 – the beginning

A 25 year old woman attends A&E complaining of lethargy and dyspnoea. She denies any cough or sputum and examination and CXR are clear. She has a temperature of 39 and small lymph nodes are palpable throughout the cervical chains … Continue reading

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Case 25 – the beginning

Welcome to #teamhaem! For those of you who are new – welcome! The case will evolve over the next week or so, depending on the information you want and suggest.  Just follow us and the hashtag #teamhaem on twitter – … Continue reading

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Case 16 – update 4

The start of case 16 can be found by scrolling down or by clicking a link to the right hand side. Things aren’t looking good for our patient.  He continues to have temperatures despite broad spectrum antibiotics.  He is getting … Continue reading

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Case 16 – update 1

For the start of this case see below: https://teamhaem.wordpress.com/2013/10/21/case-16-october-2013-the-start/ There has been a discussion amongst the team about this patient.  Clearly more information is needed.  It was rightly pointed out that a full travel and social history is needed.  He is … Continue reading

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Case 16 – the beginning

Hello!  Welcome back to TeamHaem.  This case aims to involve all of those in emergency and acute medicine.  Everyone is free to join in via Twitter. As the A&E SHO you review a 37 year old gentleman in majors.  He … Continue reading

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Case 14 – update 1

You review the history taken in the medical note.  This was a 65 year old gentleman who had presented with a 3 week history of lethargy, SOB on exertion and had noted some dark stool on occasions.   You note a … Continue reading

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Case 14 – the beginning

You are an SHO on the medical admissions unit.  You are checking the bloods for a patient, who your colleague reviewed earlier that day.  You notice that the APTT is prolonged on the coagulation screen at 43 seconds. What are … Continue reading

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Case 12 – update 1

As the GP, you take a good history from the patient. He is a 48 year old, white british man, previously fit and well. Over the past few months, he has been very lethargic.  He has been managing to work fulltime, … Continue reading

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Case 12 – the beginning

Working as a GP, you review a 48 year old man.  He complains of symptoms of fatigue and abdominal discomfort.  On examination you find splenomegaly.  How do you proceed? Please reply on Twitter and always include #teamhaem to allow others … Continue reading

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