Tag Archives: neutropenia

Case 78 – Summary

Posted on 03/06/2017 by

Thanks for your help this week. We had a case of T-LGL associated with rheumatoid arthritis. In our case her planned surgery was postponed. She was given GCSF and responded to this and this was used pre operatively for optimisation. … Continue reading →

Posted in Chronic leukaemia | Tagged , , , , , , ,

Case 78 – update 2

Posted on 03/06/2017 by

Flow results are back: CD 3 pos, CD 8 pos, CD 4 neg, CD 56 neg, CD 16 neg, CD 5 neg, CD7 wk/variable, TCR alpha/beta pos PCR TCR studies confirm clonality A Diagnosis of T Large Granular Lymphocytic leukameia is … Continue reading →

Posted in Chronic leukaemia | Tagged , , , , , ,

Case 78 – Update 1

Posted on 03/06/2017 by

Thank for all the suggestions so far. We followed your advice and the lady has had her surgery postponed and we have established the following: History: Chronic anaemia since 2011 stable at around 90. No history of bleeding/Malena No weight … Continue reading →

Posted in Chronic leukaemia | Tagged , ,

Case 78 – the Beginning

Posted on 03/06/2017 by

A 72 year old lady has attended pre- assessment clinic for an elective hip replacement and had routine bloods taken. Blood results: Hb 93, MCV 97, Plt 220, Wcc 7.5,  Neu 0.9, lymph 6.0. Normal Liver and Renal function  Blood … Continue reading →

Posted in Chronic leukaemia | Tagged , , , ,

Case 62 – summary

Posted on 07/08/2016 by

Haematological emergencies   Patient A presented with an episode of neutropenic sepsis.  As a junior you should be suspicious of someone being neutropenic if they have had recent chemotherapy (usually within the past 1-2 weeks).  Reviewing patients previous blood results … Continue reading →

Posted in Bone marrow failure, Myeloma/paraproteins | Tagged , , , , , ,

Case 62 – part A – update

Posted on 04/08/2016 by

Patient A has been with us for 48hrs.  He stabilised with the prompt treatment delivered on admission, but has spiked a temp in the last 12 hours.  His hickman line is still in situ.   He was anaemic on admission … Continue reading →

Posted in Bone marrow failure, Transfusion | Tagged , , , ,

Case 62 – part A

Posted on 31/07/2016 by

This week our aim is to develop a few short cases based on emergencies in haematology.  The case will be mostly aimed at junior doctors and medical students, timing with the transition of juniors in UK to new rotations this … Continue reading →

Posted in Bone marrow failure | Tagged , ,

Case 46 – #UnofficialCSIM2: Update 2

Posted on 15/10/2015 by

Mr Ordie was referred to Haematology clinic after his initial investigations were unremarkable. Bhy this point his Hb was 85g/l with an MCV of 114fl, platelets of 107. A bone marrow biopsy was performed, which showed: . IMAGE: dysplastic red … Continue reading →

Posted in Acute leukaemia, Anaemia, Bone marrow failure | Tagged , , , | 1 Comment

Case 19 – update 1

Posted on 28/01/2014 by

For the start of the case see below… or click https://teamhaem.wordpress.com/2014/01/26/case-19-the-beginning/ There are a few points which #teamhaem have correctly identified: 1) The patient is usually neutropenic or is at risk of neutropenia; therefore it is important to treat this person … Continue reading →

Posted in Anaemia, Bone marrow failure, Transfusion | Tagged , , | Leave a comment