December 14 2010 (Tuesday) --Thalassaemia



An interesting case: From the consistent hypochromic microcytic erythrocytosis  together with target cells and stippled cells we clearly have an undiagnosed case of thalassaemia. Being nearly sixty years old, and with a diagnosis of “chest pains” the thalassaemia has clearly not affected the patient’s life overly.


THALASSAE, MICK                                               
DOB  26/07/1954 Sex M Pat No 654321       Source    WAE     
Address   13 FAECES BOULEVARD   Clinician KCMARY          

  Date 14/12/2010 14/01/2010 29/11/2006 10/01/2005 21/04/1998 02/04/1998
  Time u/k        u/k        u/k        u/k        12:51      13:24    
Spec AW246341N  AW156879P  AW186358Q  AW377685L  AW010664S  AW094786B
  
Test
HB     12.6       13.2       12.5       12.9       11.3       10.3
WBC    12.0       15.2       7.2        8.6        7.1        5.7
PLT    218        283        260        293        255        223
RBC    5.96       6.40       6.26       6.31       5.76       5.36
HCT    0.380      0.400      0.389      0.406      0.367      0.324
MCV    64.3       63.0       62.1       64.3       63.8       60.5
MCH    21.1       20.6       20.0       20.4       19.6       19.2
MCHC   32.9       32.8       32.1       31.8       30.7       31.8
NEUH   7.6        11.6       4.36       5.19       3.97       2.94
LYMPH  3.6        2.8        2.30       2.83       2.43       2.01
MONO   0.8        0.7        0.42       0.42       0.24       0.21
EOS    0.1        0.1        0.09       0.15       0.32       0.27


The consultant will comment, and then family studies will ensue. Or that is they would have done back in the days before the fact that genetically transmissible conditions such as this affect one’s life assurance.

No comments:

Post a comment