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 EMQ 31

 

   

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EMQ: 31

Haematological conditions

a)      Acute lymphoblastic leukaemia

b)      Chronic lymphocytic leukaemia

c)      Chronic myeloid leukaemia

d)     Acute myeloid leukaemia

e)      Polycythaemia rubra vera

f)       Primary thrombocythaemia

g)      Myeloma

h)      Hodgkin’s lymphoma

i)        Non-Hodgkin’s lymphoma

j)        Myelofibrosis

1)      A 76 year old male presents with pain his chest and back. Chest x-ray shows multiple rib fractures, x-ray of his spine shows wedge compression of his lumbar vertebrae. His ESR is very high , calcium levels are elevated and there is Rouleaux formation on his blood film

2)      A 60 year old male presents with a history of fever and tiredness. On examination he is noted to have splenomegaly.

Hb 9.0 g/dL

WBC 66 x109/L

60% lymphocytes

Platelets 120 x109/L

3)       A 16 year old male presents with a history of fever and bleeding gums. On examination he is found to have lymphadenopathy and hepatosplenomegaly.

Hb 8.8g/dL

WBC 20 x109/L

Platelets 56 x109/L

4)      A 54 year old male presents with a history of feeling tired and weak. On examination there are multiple bruises on his shins. There is hepatosplenomegaly.

Hb 9.3 g/dL

WBC 45 x109/L

Platelets 45 x109/L

Blood film shows multiple blast cells

5)      A 60 year old male presents with a history of tiredness and pain in his legs on walking. On examination you note that his face looks plethoric. There is splenomegaly

Hb 20 g/dL

WBN 8.0 x109/L

Platelets 500 x109/L

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