Complete blood count – ClinCaseQuest

A case of treatment of a patient with blood test abnormalities and fever

Julia Malysheva — Thu, 01 Jun 2023 08:28:58 +0000

A 52-year-old man was admitted to the hematological center with a suspicion of a hematological disease with complaints of severe general weakness, skin itching, an increase in body temperature to 38 ⁰C in the evening, weight loss of 7-8 kg in 6 months, periodically pain in the left hypochondrium, mostly during physical exertion. He has been ill for about 1 month. The patient consulted a family doctor about 1 week ago. The patient is counseling in the hematology center after preliminary diagnosis and detection of changes in the complete blood count.

Course Information

Difficulty: Difficulty level 2

Tracks: Family medicine, Hematology, Internal medicine, Oncology

Categories: All simulators, Interactive clinical cases, Simulation categories, Standardized Clinical Case

Tags: Blood diseases, Complete blood count, Fever, Itchy skin, Pain in the left hypochondrium, Pruritus, Thrombocytopenia, Weakness, Weight loss

The purpose of the training – is to acquaint platform users with diagnostic standards, identify the risk groups, make the diagnosis and choose the treatment in case of failure of first-line therapy in patients of an unfavorable risk group.

Authors

Yulia Malysheva

Hematologist

Hematologist, “Avicena” clinic, Cherkasy (Ukraine)
Preparation of a description of a clinical case,
development hematological patients counseling recommendations and nosology description,
preparation of nosology description, preparation
imaging by clinical case

Dmytro Hamov

Hematologist

hematologist of the regional hospital Cherkasy (Ukraine)
review of clinical case materials,
review of the hematological patients counseling recommendations and nosology description,

Competencies that will be acquired during the training

Communication with the patient;
Determination of typical complaints and symptoms of a certain hematological disease;
Physical examination of the patient;
Analysis of the patient’s outpatient card;
Appointment of the necessary lab tests and analysis of the results;
Appointment of the necessary diagnostic tests and analysis of the results;
Evaluation of myelogram;
Carrying out a differential diagnosis;
Making a clinical diagnosis;
Stratification of patients by risk group depending on cytogenetic and molecular changes;
Acquaintance with international nosology classifications;
Selection of 1 line of treatment depending on the risk group, age and physical condition of the patient;
Determination of response to treatment;
The choice of a further treatment strategy for this patient depending on the response to treatment in 1 line;
Choice of treatment for a patient with refractory disease.

Clinical case

Clinical case simulator “A case of treatment of a patient with blood test abnormalities and fever”

Сообщение A case of treatment of a patient with blood test abnormalities and fever появились сначала на ClinCaseQuest.

A patient with severe neurological symptoms in the hematology department

Nataliia Lopina — Tue, 02 May 2023 09:17:52 +0000

A 69-year-old woman was hospitalized to the hematology department of the hospital with complaints of severe headache, weakness in the muscles of the lower extremities, unsteady gait, sleep disturbances, and anxiety. Previously, the patient had been treated by a hematologist, but something went wrong. Perhaps we witnessed a medical error, the results of which still need to be overcome. Will you be able to help the patient feel better?

The purpose of the training is to acquaint the users of the platform with the diagnosis of the particular hematological nosology, the choice of the first line of treatment and risk stratification, making the correct diagnosis and choosement of treatment in the patients with relapse at the inpatient stage with the selection of the second line of treatment.

Course Information

Difficulty: Difficulty level 2

Tracks: Hematology, Neurology, Oncology

Categories: All simulators, Interactive clinical cases, Rare Clinical Case simulators, Simulation categories

Tags: Complete blood count

Authors

Yulia Malysheva

Hematologist

Dmytro Hamov

Hematologist

hematologist of the regional hospital Cherkasy (Ukraine)
review of clinical case materials,
review of the hematological patients counseling recommendations and nosology description,

Competencies that will be acquired during the training

Determination of typical complaints and symptoms of a particular hematological pathology;
History collection;
Analysis of the patient’s outpatient chart
Retrospective analysis of the diagnosis and treatment of the patient and review of the results of tests;
Patient risk stratification;
Physical examination of the patient;
Neurological examination of the patient;
Appointment of additional diagnostic tests;
Assessment of laboratory and diagnostic tests;
MRI assessment;
Making a primary diagnosis;
Carrying out differential diagnosis;
Making a clinical diagnosis;
Review of clinical guidelines and prescribing therapy.

Clinical case

A patient with severe neurological symptoms in the hematology department

Сообщение A patient with severe neurological symptoms in the hematology department появились сначала на ClinCaseQuest.

Choosing a treatment strategy for a patient with abnormalities in complete blood count

Nataliia Lopina — Sat, 29 Apr 2023 21:15:26 +0000

A 46-year-old woman was referred to a hematologist by her family doctor. The patient complains of pronounced general weakness, discomfort in the left hypochondrium.
What diagnosis can be suspected in the patient? What confirmatory diagnosis examination should be carried out? What treatment strategy will be chosen and will it be effective?

Course Information

Difficulty: Difficulty level 2

Tracks: Hematology, Oncology

Categories: All simulators, Interactive clinical cases, Standardized Clinical Case

Tags: Complete blood count, Hematological pathology, Left upper quadrant abdominal pain

The purpose of the training is to acquaint users of the platform with the route and difficulties in diagnosis, establishing the correct diagnosis and selecting treatment in case of failure of initial therapy in patients at the outpatient stage.

Authors

Yulia Malysheva

Hematologist

Dmytro Hamov

Hematologist

hematologist of the regional hospital Cherkasy (Ukraine)
review of clinical case materials,
review of the hematological patients counseling recommendations and nosology description,

Competencies that will be acquired during the training

Definition of typical complaints and symptoms in the patient with particular hematological pathology;
Communication with the patient;
Physical examination of the patient;
Analysis of the patient’s outpatient card;
Assessment of laboratory and instrumental examinations;
Establishing a primary diagnosis;
Carrying out differential diagnosis;
Determination of the phase of the disease;
Calculation of the relative risk for a particular hematological pathology;
Making a clinical diagnosis;
Designation of a diagnostic follow-up examination plan;
Prescribing treatment following clinical guidelines;
Choosing the first line of treatment depending on the risk group of a particular hematological pathology;
Determination of contraindications before the start of treatment with some drugs;
Assessment of molecular genetic research;
Determination of response to first-line treatment;
Choosing a patient treatment strategy depending on the response to treatment in the first line;
Choice of second lines of therapy;
Assessment of drug-induced toxicity;
Determining the management strategy of a patient with drug-induced toxicity;
Choosing the treatment strategy after failure of second lines of therapy.

Choosing a treatment strategy for a patient with abnormalities in complete blood coun

Choosing a treatment strategy for a patient with abnormalities in complete blood count

Сообщение Choosing a treatment strategy for a patient with abnormalities in complete blood count появились сначала на ClinCaseQuest.