Haematology and oncology by coll.

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Thrombophilia screens can lead to confusion in some cases, and having a normal or negative screen is no guarantee that a patient will not have a recurrent event. History of the presenting problem The expectation is that the woman has had another DVT, but it is necessary to confirm this by taking an appropriate history. Were there prolonged or recurrent leg problems following the initial DVT? How long has the recent swelling and pain been present, and how did it start? Were there any risk factors for thrombosis on this occasion (such as immobility or prolonged travel)?

5. Further discussion Remember that leukaemias are malignant diseases with far-reaching consequences. 2). Ensure that if you are unable to answer the patient’s questions you refer them to someone who is more experienced in this area. If the relatives have not been involved, you may want to suggest that a relative is present during further discussions. uk/ Home) should be obtained. The early/emergency management of patients with leukaemia often dictates how they approach their diagnosis and further treatment.

The nurse tells you he is hypoxic with a tachycardia and is becoming distressed. Introduction The fundamental problem is that of sickling of red blood cells within the pulmonary circulation, which The clinical features of chest syndrome are shortness of breath, pleuritic chest pain and fever. These can make it difficult to distinguish from pneumonia or pulmonary embolism (PE). The patient may not be able to give a clear history of their condition, because there is often no obvious trigger. In this case a chest infection may have initiated the process by causing local hypoxia.

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