25th July 2024

You are reviewing a patient with CLL in the haematology clinic

You are reviewing a patient with CLL in the haematology clinic. You last reviewed her 2 months ago. She reports that since the last review she has been suffering from significant night sweats for the last few weeks and her weight has gone from 70 kg to 60 kg. On examination she is pale with conjunctival pallor, a palpable spleen 7 cm below the costal margin and a 6 cm cervical lymph node.

Bloods show:


Today	2 months ago
Hb 115 g/L (130-180) WCC 45.5 x 10⁹/L (4.0-11.0) Neutrophils 1.9 x 10⁹/L (2-7.5) Lymphocytes 43.5 x 10⁹/L (1.5-4.5) Eosinophils 0.0 x 10⁹/L (0.04-0.4) Basophils 0.0 x 10⁹/L (0.0-0.1) Monocytes 0.1 x 10⁹/L (0.2-0.8) Platelets 245 x 10⁹/L (150-400)	Hb 130 g/L (130-180) WCC 24.3 x 10⁹/L (4.0-11.0) Neutrophils 3.7 x 10⁹/L (2-7.5) Lymphocytes 20.2 x 10⁹/L (1.5-4.5) Eosinophils 0.1 x 10⁹/L (0.04-0.4) Basophils 0.0 x 10⁹/L (0.0-0.1) Monocytes 0.3 x 10⁹/L (0.2-0.8) Platelets 160 x 10⁹/L (150-400)

Today

2 months ago

Hb 115 g/L (130-180)

WCC 45.5 x 10⁹/L (4.0-11.0)

Neutrophils 1.9 x 10⁹/L (2-7.5)

Lymphocytes 43.5 x 10⁹/L (1.5-4.5)

Eosinophils 0.0 x 10⁹/L (0.04-0.4)

Basophils 0.0 x 10⁹/L (0.0-0.1)

Monocytes 0.1 x 10⁹/L (0.2-0.8)

Platelets 245 x 10⁹/L (150-400)

Hb 130 g/L (130-180)

WCC 24.3 x 10⁹/L (4.0-11.0)