Tag Archives: neutropenia

Case 100 (part A) – summary

Our patient had mild neutropenia. Neutropenia has a number of causes and the finidning of neutriopenia should prompt clinical evaluation.   Causes of neutropenia include Sepsis secondary to exhausting neutrophil pool Nutritional deficiency – B12, folate, copper, anorexia Hypersplenism Viral … Continue reading

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Case 100 (part A) – the beginning

We’re going to do a few short cases this week… hope you’re on your toes! You are working in a GP surgery and a 28 year old female comes to see you as she has been feeling fatigued. Further evaluation … Continue reading

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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

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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

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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

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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

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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

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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

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

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

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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

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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

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