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

June 1, 2023

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.

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. 


Julia Malysheva

Yulia Malysheva


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

Dmytro Hamov


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.


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