Michelle Lannon

[Michelle Lannon @MichelleLannon1]

@TeamHaem she should be Ix & Mx as neutropenic fever & has she had a recent ferritin as she's having a lot of transfusions...#teamhaem

[Michelle Lannon @MichelleLannon1]

Agreed-?HbSS with ACS. In that case IVT, Oxygen, analgesia, LMWH and consider transfusion/exchange, but only if necessary #teamhaem

[Michelle Lannon @MichelleLannon1]

#teamhaem ABCs, CXR and ABG as might separate methaemoglobinaemia from true hypoxia, haemolysis screen and sputum if any for mycoplasma

[#HelloMyNameIs 💙🌈 🌻🇪🇺🇺🇦 🩺 @mcmrhona]

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[Michelle Lannon @MichelleLannon1]

@TeamHaem expansion on the above answer....as soon as 6hours after treatment #teamhaem

[Michelle Lannon @MichelleLannon1]

@TeamHaem is hours close enough for hyperkalaemia?? #teamhaem

[Michelle Lannon @MichelleLannon1]

@TeamHaem wcc not v high but could still be tumour lysis with AKI due to sepsis...do uric acid and consider rasburicase #teamhaem

[Michelle Lannon @MichelleLannon1]

@Zenofanes2010 @TeamHaem yeah sorry to confuse...in this case would defo give plts #teamhaem

[Michelle Lannon @MichelleLannon1]

@TeamHaem @zenofanes2010 @akmcgregor1982 agreed not TTP!don't know what's worse .......

[Michelle Lannon @MichelleLannon1]

@Zenofanes2010 @akmcgregor1982 @teamhaem plt transfusion if life threatening bleeding suspected, otherwise hold until film seen as CI in TTP

[Michelle Lannon @MichelleLannon1]

@TeamHaem confusion could be due to hypotension and sepsis, CNS infection, ICH, blasts in CNS.....unfortunate! #teamheam

[Michelle Lannon @MichelleLannon1]

#teamhaem could also consider transfusion to improve tissue oxygenation but await the blood
film report and other bloods first

[Michelle Lannon @MichelleLannon1]

@akmcgregor1982 @teamhaem agreed...as above plus ABG with lots of pressure post, a cxr and ensure cultures sent #teamhaem

[Michelle Lannon @MichelleLannon1]

#teamhaem I'm more concerned about cough and sats of 93% in a 29yo...??.opportunistic infection with cytopenias- HIV screen.

[Michelle Lannon @MichelleLannon1]

@TeamHaem there may be symptoms and signs of heart failure -dilated vs restrictive cardiomyopathy secondary to alcohol or amyloid #teamhaem

[Michelle Lannon @MichelleLannon1]

@wendster do you think the echo might look "sparkly"? #teamhaem

[Michelle Lannon @MichelleLannon1]

@TeamHaem I'm thinking is this mgus or myeloma? C - hyperCalcaemia Renal failure Anaemia and Bone pain/disease. #teamhaem

[Michelle Lannon @MichelleLannon1]

@TeamHaem any evidence of CRAB? #teamhaem

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[Michelle Lannon @MichelleLannon1]

#TeamHaem I wonder if there are any abnormalities on the blood film?