Haematology essays

Haematology essays Marital Status Cohabiting Sex Male 3/52 hx of epistaxis, oral mucosal bleeding and purpura over the feet and shins. JM was diagnosed with idiopathic autoimmune thrombocytopenia purpura in 1996. He suffered from epistaxis, bleeding gums and purpura and his platelet level at this time was found to be 2 x 109g/L. Treated with corticosteroids, but refractory to therapy, JM underwent a splenectomy with good resolution. He was gradually weaned off prednisolone and followed up in the haematology clinic in 1999. The patient has been asymptomatic until this recent presentation to his GP, who referred him to the haematology unit at the Western General Hospital. 1994 - Autoimmune haemolytic anaemia diagnosed. Treated with corticosteroids. aasthma, aepilepsy, ajaundice, aDM, aMI, aCVA, B, aHT, aRF A call centre manager, JM lives in a semi-detached house with his partner and young son. He is a non-smoker and drinks only 5 units of alcohol a week. He has never taken recreational drugs. He has no significant risk factors for HIV infection. General: JM has been feeling slightly more tired recently. Denies any weight loss prior to admission Denies any change in appetite or thirst Denies nausea, vomiting or haematemesis Denies any difficulty swallowing, dysphagia, indigestion or heartburn Denies fresh blood or mucus in the stools CVS: Denies breathlessness, chest pain and palpitations Denies calf pain or ankle swelling RS: 1/52 hx of cough with dirty sputum Denies shortness of breath at rest, on mild exertion or lying flat GUS: Denies incontinence or urgency Denies nocturia, dysuria and haematuria Loco: Denies pain, stiffness or swelling in any joints Skin: 3/52 hx of painful rash over both feet extending over shins Patient ¡s Ideas, Concerns and Expectations JM has a very good understanding of his condition and is v...