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Tag Archives: neutropenia
Case 78 – Summary
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
Case 78 – update 2
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
Case 78 – Update 1
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 autoimmune disease, neutropenia, rheumatoid arthritis
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Case 78 – the Beginning
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 autoimmune disease, Blood film, morphology, neutropenia, rheumatoid arthritis
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Case 62 – summary
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
Case 62 – part A – update
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
Case 62 – part A
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
Case 46 – #UnofficialCSIM2: Update 2
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 anaemia, Macrocytosis, neutropenia, sepsis
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Case 19 – update 1
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
TeamHaem 