Tag Archives: malignancy

Case 58 – update 3

Our patient has a swollen left leg and an intermediate Wells’ score but a positive d-dimer result. She goes on to have an ultrasound of her lower limb. There is debate on whether to do a full leg ultrasound scan … Continue reading

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Case 31 part 2 – summary

So… we have a leucoerythroblastic film (left shifted granulopoiesis and nucleated red cells) along with tear drop cells. The main differentials the team came up with were: Myelofibrosis (primary or secondary – he did have a haematology past) Metastatic carcinoma … Continue reading

Posted in Haemoglobinopathy, Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities | Tagged , , , | Leave a comment

Case 31 part 2 – update 1

Thanks for all of the suggestions! Here’s a slightly bigger picture of the nucleated red cell and tear drop poikilocytes: The GP tells you the patient used to be under haematology review elsewhere but since moving locally has not been … Continue reading

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Case 31 part 2 – the beginning

This blood film was taken by a local GP as the patient was feeling run down and tired. Hb 95g/L MCV 69fL WCC 14.5×10*9/L PLT 432×10*9/L Questions: Describe the film What is going on? What will you advise the GP? … Continue reading

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Case 23 – update 4

Our young patient with newly diagnosed DVT has cervical cancer and needs total abdominal hysterectomy semi-urgently.  As the DVT is recent and as the surgery has a high risk of blood loss it is felt that inserting an IVC filter … Continue reading

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Case 23 – update 3

Unfortunately following gynaecological review our patient is found to have cervical cancer.  She needs hysterectomy within the next week.  Following #teamhaem suggetstions she is given intravenous iron in an attempt to optomise her haemoglobin pre surgery and avoid the use of blood … Continue reading

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