Category Archives: Haematology

Easy bruising

I normally just use a full blood count to investigate easy bruising; I’ve ummed and ahhhed about getting a clotting screen as well, but it seems like overkill to me. However, the authors of an article in the latest BMJ … Continue reading

Posted in Haematology, Investigations | Leave a comment


An old article; unearthed an old BMJ I’d saved but never got round to making notes on. BMJ 2014;349:g5340. Neutropenia is defined as a neutrophil count <1.5 x 10^9. It’s classified in increments of 0.5 (1 – 1.5 is mild, … Continue reading

Posted in Credits 2017, Haematology | Leave a comment


In response to a DEN that came up with a patient’s results, I’ve been refreshing my memory on the causes of macrocytosis. Briefly, these are: Physiological – macrocytosis is normal in pregnancy (usually mild but not impossible for it to … Continue reading

Posted in Credits 2015, Haematology, Lab results | Leave a comment

MGUS, myeloma, and other paraprotein-related problems

Globulins: Proteins produced by plasma cells in the bone marrow. Serum globulin level is the difference between total protein level and albumin level. Polyclonal increase in plasma cells: increase in globulin (which may show up as increased total protein with … Continue reading

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VTE – NICE guidance

Everyone with suspected VTE is now supposed to have some sort of investigation. This is where the ability to draw flowcharts would be really helpful: Wells 2 or above – Doppler within 4 hours, or, if that’s not possible, get … Continue reading

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Lymphadenopathy in childhood

Neck swellings >3 cm require acute referral even in an otherwise well child. Systemic illness, suspected malignancy, or suspected abscess are obviously grounds for urgent referral. For harmless-looking cervical lymphadenopathy, the advice should be to return if still present in … Continue reading

Posted in Credits 2012, Haematology, Paediatrics | Leave a comment

BMJ 2012 3rd March

Interesting study looking at how the different patterns of severity of menopausal symptoms in the three years before menopause relate to patterns of severity in the three years after.  Mild stable symptoms during the pre-menopausal years tend to stay mild … Continue reading

Posted in Anaemia, BMJ, Credits 2012, Gastroenterology, Gynaecology | Leave a comment