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    Haematology

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    Abi Rajasingam
    The document discusses anaemia, including its history, examination, differentials, and management. The history section covers symptoms like chest pain, shortness of breath, and fatigue, as well as diet, medications, and potential sources of blood loss. Examination focuses on appearance, conjunctiva, weight, and other physical signs. Differentials include microcytic, normocytic, and macrocytic anaemia based on cell size. Management is dependent on the type of anaemia and may involve blood tests, imaging, and referral to hematology for persistent cases.

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    Haematology

    Uploaded by

    Abi Rajasingam
    9 views2 pages
    The document discusses anaemia, including its history, examination, differentials, and management. The history section covers symptoms like chest pain, shortness of breath, and fatigue, as well as diet, medications, and potential sources of blood loss. Examination focuses on appearance, conjunctiva, weight, and other physical signs. Differentials include microcytic, normocytic, and macrocytic anaemia based on cell size. Management is dependent on the type of anaemia and may involve blood tests, imaging, and referral to hematology for persistent cases.

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    Haematology consultations - templates + management

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    The document discusses anaemia, including its history, examination, differentials, and management. The history section covers symptoms like chest pain, shortness of breath, and fatigue, as well as diet, medications, and potential sources of blood loss. Examination focuses on appearance, conjunctiva, weight, and other physical signs. Differentials include microcytic, normocytic, and macrocytic anaemia based on cell size. Management is dependent on the type of anaemia and may involve blood tests, imaging, and referral to hematology for persistent cases.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    9 views2 pages

    Haematology

    Uploaded by

    Abi Rajasingam
    The document discusses anaemia, including its history, examination, differentials, and management. The history section covers symptoms like chest pain, shortness of breath, and fatigue, as well as diet, medications, and potential sources of blood loss. Examination focuses on appearance, conjunctiva, weight, and other physical signs. Differentials include microcytic, normocytic, and macrocytic anaemia based on cell size. Management is dependent on the type of anaemia and may involve blood tests, imaging, and referral to hematology for persistent cases.

    Copyright:

    © All Rights Reserved
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    of 2

    Anaemia

    History:

    - Chest pain
    - Shortness of breath
    - Fatigue
    - Diet – vegan?
    - Drug Hx

    ? Source of blood loss

    - PR bleed
    - Haematemesis
    - Menorrhagia
    - Haematuria
    - Epistaxis

    ? Red flags

    - Weight loss
    - Night sweats
    - Fever
    - FHx of cancer
    - Smoking
    - Alcohol intake

    Examination:

    - Appearance / colour
    - Conjunctiva
    - Weight
    - Chest
    - Abdomen
    - PR

    Differentials:

    - Microcytic – IDA, thal


    - Normo – blood loss, bone marrow, chronic disease
    - Macro – B12, folate, alcohol, hypothyroidism

    Management (dependent on the type of anaemia):

    - Blood film and reticulocyte count


    - Ferritin, B12, folate, transferrin sats
    - Immunoglobulins, serum protein electrophoresis, serum free light chains
    - Renal and liver function
    - ESR and CRP
    - Autoimmune screen to exclude chronic inflammation
    - Coeliac screen, Urinalysis for occult blood loss
    - Upper and lower GI investigation in: All men and post-menopausal women
    - Targeted GI investigation in pre-menopausal women with upper GI symptoms or FH of
    colorectal cancer
    - Persistent IDA despite treatment – routine referral to haematology

    https://www.nwlondonccg.nhs.uk/application/files/6116/0405/1009/1._Anaemia_pathway.pdf

    https://www.nwlondonccg.nhs.uk/application/files/4715/9376/8471/
    iron_deficiency_anaemia_v1.pdf

    Abnormal bleeding / bruising history:

    https://www.nwlondonccg.nhs.uk/application/files/
    4116/0405/1011/20._Abnormal_bleeding_and_bruising.pdf

    High platelets:

    https://www.nwlondonccg.nhs.uk/application/files/3216/0405/1010/12._Thrombocytosis.pdf

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