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29th May 2023
A 36-year-old female presents to ED following an episode of haemoptysis
A 36-year-old female presents to ED following an episode of haemoptysis. She is generally unwell, and examination reveals widespread mucosal and subcutaneous bleeding. Her bloods on arrival show:
| Hb | 66 g/L | (120-170 g/L) |
| WCC | 5.1 x 10^9/L | (3.6-11 x 10^9/L) |
| Neutrophils | 0.7 x 10^9/L | (1.8-7.5 x 10^9/L) |
| Platelets | 8 x 10^9/L | (150-400 x 10^9/L) |
| Film comment | Confirmed anaemia and thrombocytopenia. Blasts present – hypergranulated cytoplasm with very frequent Auer rods. | |
| PT | 25 seconds | (10-14 seconds) |
| APTT | 51 seconds | (22-36 seconds) |
| Fibrinogen | <0.5 g/L | (1.5-4.5 g/L) |
| D-dimer | 8000 ng/ml | (<500 ng/ml) |
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