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
