Haematology

e-Learning | Management of Polycythaemia Vera

This is an updated guideline on the diagnosis and management of polycythaemia vera (PV) from the British Society for Haematology. It was published in Nov 18. PV is the same as polycythaemia rubra vera and PCV. Much of this is beyond what we need, but it outlines how we should be approaching a patient with…
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Nice | Anaemia in CKD

This is an updated guideline from Nice on anaemia in chronic kidney disease. The main changes relevant for us are the tests which should be used to diagnose it and the targets for treatment. This guideline seems to be for any patient with CKD and GFR less than 60. I am not covering children, patients…
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RCOG | Management of beta thalassaemia in pregnancy

This guideline from RCOG is about the management of beta thalassaemia in pregnancy. I'm not going to go into much detail as it's a rare condition. It is useful to know this guideline is there if you have an affected lady. Pre-pregnancy issues May have trouble conceiving due to endocrine problems High risk pregnancies, so need pre-pregnancy…
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BCSH | Vitamin B12 and folate deficiency

This is a new guideline from the BCSH. It is quite a chunky guideline and it covers a lot of detail. I will give a few 'top learning points' then a more detailed summary beneath. At the end I have attached some algorithms, which are really helpful in knowing how to investigate / manage people. Top…
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BCSH | Myeloma

OK, so most of this guideline into myeloma is way over our level, but it is a useful reminder of when to think about myeloma as a possible diagnosis and what tests to do. Beware the possibility of myeloma in patients who present with: Bone disease or pain Impaired renal function Anaemia Hypercalcaemia Recurrent or…
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Thrombotic thrombocytopenic Purpura

This guideline is generally aimed at specialists and there’s nothing new for us. However, if you want a quick reminder of this rare, but extremely dangerous condition, read on! Skip the first paragraph to avoid the sciency bits… The Science… Thrombotic Thrombocytopenic Purpura (TTP) can be acquired or congenital. In the congenital form they lack…
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Acute sickle cell crisis – management in hospital

This guideline is about the management of acute sickle cell crises in hospital. However there are a couple of points useful for us: Initial Assessment of a Patient: The patient will know what their normal crisis is like. If they say it is different, consider other potential causes for their pain. Assess obs (including temperature…
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