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Tag Archives: thrombosis
Case 93 – summary
This case highlighted a number of issues in the management of VTE. 1) The investigation of a patient with newly diagnosed DVT One of the most useful parts in the history taking is the identification of a provoking factor. We … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, cancer, compression hosiery, DVT, IVC filter, recurrent DVT, surgery, thrombosis, VTE
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Case 93 – update 4
Our patient has had one left leg DVT which was treated with rivaroxaban. He had no symptoms of malignancy. Two months later he presents again with increased leg swelling and pain and has the thrombosis has increased compared to previous. … Continue reading
Case 93 – update 3
Our patient has his d-dimer checked which is positive and has an ultrasound scan of the left leg which has confirmed a clot. On review of the images the clot is more extensive that previously. This combined with the clinical … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, cancer, DVT, surgery, thrombosis
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Case 93 – update 2
We discussed what anticoagulant to start in our patient with a newly diagnosed DVT. There are a number of options and the main ones will include: LMWH then warfarin LWMH then dabigatran Rivaroxaban Apixaban LMWH then edoxaban Various factors … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, compression hosiery, DVT, thrombosis
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Case 93 – update 1
Our patient has a confirmed proximal DVT and we recognised the important points in the clinical evaluation by looking for provoking factors: Malignancy Family history Periods of immobility Recent surgery or hospital stays Hormonal therapy or pregnancy Nephrotic syndrome Autoimmune … Continue reading
Case 93 – the beginning
Welcome to our new #TeamHaem case. You are the acute medicine senior house officer working in ambulatory care. A GP has referred a 58 year old gentleman with left leg swelling and is concerned about deep vein thrombosis (DVT). He … Continue reading
Case 86 – part C2
Thanks for your help with this short case. We examined this blood film of an unwell female: The most striking abnormality is red cell fragmentation. This can be seen in: AIHA/Evans’ syndrome DIC Pregnancy-associated (HELLP, pre-eclampsia, malignant hypertension, fatty liver of … Continue reading
Posted in Laboratory morphology, Platelet disorders, Thrombosis, Transfusion
Tagged FFP, haemolysis, plasma exchange, red cell fragmentation, thrombosis, TTP
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Case 86 – part 3A
A 32 year old female presents with headaches, visual disturbance and fever. Hb 92g/L MCV 99fl Platelets 38×109/l WCC and differential – mild neutrophilia Questions Name some features of the blood film? What are the differential diagnosis? What further investigations … Continue reading
Posted in Laboratory morphology, Thrombosis, Transfusion
Tagged FFP, haemolysis, plasma exchange, red cell fragmentation, thrombosis, TTP
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Case 68 – update 1
So far we have found out our 36 year old lady has been tired for a few weeks. She has no history of weight loss or night sweats. She has not lost any weight or noted any lumps or bumps. … Continue reading
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