Tag Archives: Obstetrics

Case 87 – summary

This week we looked at a case of pulmonary embolism in a lady who was 28 weeks pregnant.   Initial management included: ABC ECG – T wave inversion. S1Q3T3 pattern and right bundle branch block.ย  May also help with identifying … Continue reading

Posted in Anticoagulation, Related to other specialities, Thrombosis | Tagged , , , , , , ,

Case 87 – the beginning

A 32 year old lady presents to A&E with incresing shortness of breath and chest pain. ย She is 28 weeks pregnant. What further information do you need? Initial management/investigations?

Posted in Anticoagulation, Related to other specialities, Thrombosis | Tagged , , , , , , ,

Case 83 – summary

Many thanks to everyone who contributed to our case. This week the case centred on a pregnant female who was an obligate carrier of Haemophillia A (Her Father was affected). She had a factor VIII level of 54%. She was … Continue reading

Posted in Inherited bleeding, Paediatric haematology, Related to other specialities | Tagged , , , , , , ,

Case 83 – update 3ย 

Our pregnant patient had a factor VIII level of 54%. She is a carrier of intron 22 inversion as predicted from family history.  The free fetal DNA testing confirms she is carrying a male fetus. The patient has decided that … Continue reading

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Case 83 – update 2

Our pregnant patient returns to clinic she is now 13 weeks pregnant.  Her factor VIII level was 54%. She is a carrier of intron 22 inversion as predicted from family history.  The free fetal DNA testing confirms she is carrying … Continue reading

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Case 83 – update 1

After consideration of her family tree you realise  if there are no non-paternity issues she is an “obligate carrier” of Haemophillia A.  After counselling and discussion she agrees to having genetic testing for herself. She is willing to have free … Continue reading

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Case 83 – the beginning

You are in a joint obstetric haematology clinic and have been referred a 24 year old lady who is 13 weeks pregnant P0 G1 You take a family history and find her father and paternal uncle have severe Haemophillia A. … Continue reading

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Case 51 – summary

Thank you for all of your input this week. This week we looked at a patient who was diagnosed with AML in the 3rd trimester of pregnancy. She initially presented with a rash which, following a biopsy, was diagnosed as … Continue reading

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Case 51 – update 2

Our patient has been diagnosed with AML. FISH for t(15;17) is negative. The full cytogenetic report is awaited.  She is currently an inpatient and following discussion with the haematology, obstetric, neonatology and anaesthetic team she and the teams caring for … Continue reading

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Case 51 – update 1

So we have our first update. Our 20 year old lady who is now 32 weeks pregnant attended with a rash. This is her first pregnancy. She has been increasingly tired over the last 6 weeks, but has put this … Continue reading

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Case 51 – the beginning

After a short break welcome to our new case! This week we start in general practice.  A 20 year old lady attends who found out she was pregnant 4 weeks ago. Her dating scan at the time showed that she … Continue reading

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Case 36 – update 2

Following testing of the father, he is also found to be a carrier of Beta-thalassaemia.ย  The pregnancy continues, and following counselling the family decline any further investigation until the fetus is born. What would be the options for testing prior … Continue reading

Posted in Anaemia, Haemoglobinopathy | Tagged , , | 1 Comment

Case 36 – the beginning

A 22 year old women has her antenatal booking in bloods taken. Her FBC shows Hb 10.2 g/dl MCV 71 fL (77-95fL) MCH 22 pg (26-33 pg) MCHC 33 g/dl (31-36g/dl) RDW 12.5% (11.5-14.5%) What features may be present on … Continue reading

Posted in Anaemia, Haemoglobinopathy | Tagged , , , | 1 Comment