Tag Archives: pregnancy

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 49 – summary

Thanks to everyone who  tweeted for our case! The learning points are summarised below.   The case was based around a nulliparous 27 yr old women with sickle cell disease.  She wished to seek prior to conception.  Ideally pregnancy’s should … Continue reading

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Case 49 – update 2

The patient presents to a&e with shortness of breath at 22weeks gestation.   how would you assess this patient? management? differential?

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Case 49 – update 1

Partner testing reveals beta- thal trait.  How would you council this lady? The patient was commenced on hydroxycarbamide two years ago due to recurrent acute chest crisis.   As suggested by one of our followers – advice would be to … Continue reading

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Case 49 – the beginning

Our case this week focuses around a 27 year old lady who is know to have sickle cell disease.  She attends the joint haematology/obstetric clinic for preconceptual counselling.   As the junior haematology registrar in this clinic, consider how you … Continue reading

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Case 45 – summary

This case dealt with two relatively common problems. We had a pregnant patient who was both iron deficient and thrombocytopenic. 1) Iron deficiency in pregnancy Anaemia in pregnancy is fairly common. There can be a 45% increase in plasma volume which will … Continue reading

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Case 45 – update 4

The iron deficiency anaemia has resolved. A ferritin was checked (although not technically necessary) and it was reassuringly well within the normal range indicating adequate iron stores. Now the issue is she is thrombocytopenic in week 36: Hb 118g/L MCV … Continue reading

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Case 45 – update 3

The blood film in the earlier post has been reported as : “Microcytic anaemia with no specific features of iron deficiency or haemoglobinopathy; suggest check iron status” The HPLC shows no variant haemoglobin and the HbA2 is within normal limits … Continue reading

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Case 45 – update 2

So far we have a pregnant lady who is feeling tired and has a microcytic anaemia. It is likely she has iron deficiency. Her family origin questionnaire is done as part of antenatal screening and she states that she is … Continue reading

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Case 45 – update 1

So far we have a women who is 11 weeks pregnant and feeling tired and out of sorts. She has a microcytic anaemia and a borderline platelet count. Firstly let’s think about the anaemia. The two most common causes of … Continue reading

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Case 45 – the beginning

You are in a GP surgery as the GP registrar. A 24 year old female complains of feeling tired. She is eleven weeks pregnant and was due her ‘booking visit’ by the midwife in a one week’s time. She has … Continue reading

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Case 40 – summary

In this case we were able to interpret blood grouping cards, to allow us to determine further management for this pregnant lady. The first sample to interpret was the blood group of the pregnant lady which identified that she was … Continue reading

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Case 40 – update 3

The patient continues her pregnancy with no further complications. The baby’s blood group is shown below: what can you deduce from this blood card grouping? any further management for mum? any information regarding the fathers blood group? What other clinical … Continue reading

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Case 40 – update 2

Thankfully bleeding has eased, mum and baby are well. What dose of anti-D is required? How is this calculated? Any further tests to help with dosing? Of note she had an antibody screening with booking in bloods which was negative. … Continue reading

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Case 40 – update 1

At 26 weeks this patient presents with an antepartum haemorrhage. How would you manage this lady?

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Case 40 – the beginning

The first blood sample is taken from a 23 year old lady at her antenatal booking appointment. How do you interpret this blood grouping card? What is the patients blood group? Are there any other considerations for this patient? Answers … Continue reading

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Case 21 – update 3

We have now narrowed the differentials: Disseminated intravascular coagulation due to sepsis (unlikely as normal coag) Heparin-induced thrombocytopenia (possibility, but rare in obstetric patients) Thrombotic thrombocytopenic purpura (unlikely – no red cell fragments on film and more common earlier on … Continue reading

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Case 21 – update 1

Thanks for all of your suggestions. We have a bit more information for you. Our patient is normally fit and well and delivered her first baby a week ago.  She had suffered from iron deficiency during pregnancy but didn’t tolerate … Continue reading

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Case 21 – the beginning

Welcome to #teamhaem! For those of you who are new – welcome! The case will evolve over the next week or so, depending on the information you want and suggest.  Just follow us and the hashtag #teamhaem on twitter – … Continue reading

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