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29th May 2023
A 67-year-old male presents to ED with shortness of breath and chest tightness
A 67-year-old male presents to ED with shortness of breath and chest tightness. His saturations are 82% on air and he is started on high flow oxygen. His ECG shows sinus tachycardia only and his troponin is not elevated.
His bloods show the following:
| Hb | 71 g/L | (130-180 g/L) |
| WCC | 112 x 10⁹/L | (3.6-11 x 10⁹/L) |
| Neutrophils | 0.1 x 10⁹/L | (1.8-7.5 x 10⁹/L) |
| Platelets | 48 x 10⁹/L | (150-400 x 10⁹/L) |
| Film comment | Confirmed anaemia and thrombocytopenia. Blasts present with Auer rods | |
A chest x-ray is performed which shows bilateral pulmonary oedema. The haematology registrar calls and reports that flow cytometry is being performed but the appearances are suggestive of AML.
What should your immediate management of this patient be?
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