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Teaching

Blood Films :: Blood Films 01







Case 101

Male 45 years

Presents to GP with dyspnoea. Hb 123, WCC 26, platelets 198. Describe the film and give a diagnosis.





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Case 102

Female 76 years

Investigated by GP for persistent fatigue. Hb 72, WCC 7, platelets 593. Describe the film and give a diagnosis.





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Case 103

Male 59 years

Known to haematology, attends for routine outpatient review. Describe the film and give a diagnosis.





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Case 104

Male 78 years

Known to haematology is admitted from clinic for pain control. Describe the film and give a diagnosis.





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Case 105

Female 23 years

Transferred from a DGH and admitted acutely under the care of the renal team with AKI requiring haemodialysis. Describe the film and give a diagnosis.





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Case 106

Male 58 years

Presents to A&E with severe headache. Describe the film and give a diagnosis.





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Case 107

Male 72 years

Attended GP practice for a routine "well man" check up. Hb 116, WCC 102, platelets 47. Describe the film and give a diagnosis.





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Case 108

Male 84 years

COPD, hypertension and prostate cancer has some blood tests done by his GP. Describe the film and give a diagnosis.





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Case 109

Female 67 years

Referred to the haematology clinic with a history of persistent neutropenia. Hb 100, WCC 2.3, neuts 0.5, lymphs 1.4, mono 0.1, eos 0.3, baso 0.1. Describe the film and give a diagnosis.





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Case 110

Male 3 years

Completed chemotherapy for ALL and undergoes a bone marrow biopsy. Describe the film and give a diagnosis.





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Case 111

Female 23 years

Investigated for menorrhagia. Hb 116 WCC 4.2 Neuts 2.3 Platelets 78. Describe the film and give a diagnosis.





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Case 112

Male 76 years

Abdominal pain, an abdominal mass and a lactic acidosis. Hb 94, WCC 22, Plt 298, lactate 9, LDH 2331. Describe the film and give a diagnosis.





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Case 201

Male 37 years

Attending routine haematology follow up. Hb 87, WCC 6.4, platelets 234. Describe the film and give a diagnosis.





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Case 202

Male 75 years

Type 2 diabetes, heart failure, mechanical mitral and aortic valves, COPD, gout, and CKD stage 4. Attended the cardiology clinic complaining of increasing breathlessness. Describe the film and give a diagnosis.





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Case 203

Male 26 years

2 week history of increasing lumbar back pain presents to A&E and is investigated for a pancytopenia. Hb 87 WCC 0.8 differential pending Plt 21. Describe the film and give a diagnosis.





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Case 204

Male 74 years

Weight loss and splenomegaly. Describe the film and give a diagnosis.





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Case 205

Female 76 years

Referred by GP due to thrombocytopenia on routine bloods. Hb 108, WCC 18, platelets 42. Describe the film and give a diagnosis.





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Case 206

Male 74 years

Under haematology follow up has a rising white cell count. Hb 110, WCC 19, platelets 21. Describe the film and give a diagnosis.





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Case 207

Female 34 years

On the Acute Medical Unit due to alcohol withdrawal seizures. Hb 106, WCC 5.7, platelets 159. Describe the film and give a diagnosis.





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Case 208

Male 27 years

Attends a routine haematology outpatient appointment. Hb 72, WCC 8.3, platelets 209. Describe the film and give a diagnosis.





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Case 209

Male 57 years

Had a "well man" check at his GP practice. Hb 105, WCC 37, Plt 143. Describe the film and give a diagnosis.





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Case 210

Male 7 years

Investigated for pancytopenia. Hb 82, WCC 0.9, Plt 23. Describe the film and give a diagnosis.





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Case 211

Gender unknown 34 years

Attends A&E with severe headache and aggressive behaviour. Describe the film and give a diagnosis.





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Case 212

Male 64 years

Presents to GP with abdominal pain and fatigue. Describe the film and give a diagnosis.





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Case 301

Female 36 years

Attends A&E due to bruising and a petechial rash. Hb 87, WCC 21, Plt 3. Describe the film and give a diagnosis.





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Case 302

Male 84 years

Attended A&E with dyspnoea, initially treated for pneumonia. Hb 95, WCC 16, Plt 95. Describe the film and give a diagnosis.





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Case 303

Female 71 years

Attending clinic with a persistent leucocytosis. Hb 135, WCC 14, plt 107. Describe the film and give a diagnosis.





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Case 304

Male 47 years

6 day history of bleeding gums and petechiae. Hb 143, WCC 5.4, Plt 2. Describe the film and give a diagnosis.





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Case 305

Male 24 years

Attending haematology follow up clinic who moved his appointment to an earlier date because he has been feeling unwell. Hb 96, WCC 26, Plt 68. Describe the film and give a diagnosis.





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Case 306

Female 29 years

29 weeks pregnant, with extreme fatigue. Hb 72, WCC 6.1, Plt 83, LDH 1328, bili 27. Describe the film and give a diagnosis.





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Case 307

Female 19 years

Presents to GP with a 3 week history of weight loss, malaise and cervical lymphadenopathy. Hb 116, WCC 16, Plt 114, ALT 326, splenomegaly 2cm below the costal margin on examination. Describe the film and give a diagnosis.





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Case 308

Female 68 years

Pyrexial on the surgical ward following a total abdominal hysterectomy. Hb 98, WCC 24, Platelets 1263, CRP 640. Describe the film and give a diagnosis.





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Case 309

Female 45 years

Attends A&E with a presyncopal episode on a background of a long history of fatigue and increasing breathlessness. Hb 41, WCC 3.2, Plt 440. Describe the film and give a diagnosis.





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Case 311

Female 58 years

Previously treated by the haematology team and under active follow-up presents with worsening dyspnoea. Describe the film and give a diagnosis.





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Case 312

Female 86 years

Frail lady under haematology follow up for a longstanding history of large granular lymphocytic leukaemia developed a new lymphocytosis. Describe the film and give a diagnosis.





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