Haematology

A 4-year-old boy develops widespread bruising on his shins and trunk and a crop of pinpoint red spots on his legs over three days, two weeks after a cold. He is…

Paediatrics · Clinical rotations · middle twist

A 66-year-old woman is on day 8 after an elective total hip replacement and has been receiving subcutaneous enoxaparin 40 mg daily since surgery. Her platelet c…

Haematology and Oncology · Pre-internship · niche

A 27-year-old woman of Greek background attends for pre-pregnancy advice. She feels well. A full blood count taken by her previous doctor shows: haemoglobin 108…

Haematology and Oncology · Clinical rotations · middle twist

A 29-year-old woman presents with headache, confusion and reduced urine output. She is pale and has scattered petechiae; investigations show haemoglobin 78 g/L…

Haematology and Oncology · Clinical rotations · middle twist

A 24-year-old woman of Greek background is found to have abnormal results on a pre-employment blood count. She feels well, her periods are not heavy, and she re…

Haematology and Oncology · Clinical rotations · common

A 76-year-old woman taking warfarin for atrial fibrillation attends for a routine INR check, which returns at 11.0 (target 2.0–3.0). She recently completed a co…

Cardiovascular · Clinical rotations · middle twist

A 68-year-old man presents with three months of increasing tiredness and breathlessness climbing stairs. He eats a mixed diet, takes no regular medications, and…

Gastroenterology and Hepatology · Clinical rotations · common

A 72-year-old male with history of stage 4 chronic kidney disease presents to the clinic after suffering from increasing fatigability and pallor. · Hemoglobin:…

Year 4 · Clinical rotations · middle twist

A 59-year-old male presents to the emergency room after he develops a fever of 38.5°C (101.3°F). He was recently diagnosed with leukemia and started chemotherap…

Year 4 · Pre-internship · middle twist

A 45-year-old woman presents with progressive tingling in her feet, difficulty walking, and imbalance for the past three months. She also reports generalized fa…

Year 3 · Clinical rotations · common

Which of the following iron study findings is most consistent with thalassemia?

Year 4 · Clinical rotations · middle twist

A 45-year-old man with a history of type 2 diabetes mellitus and hypertension presents to his primary care physician's office with complaints of persistent fati…

Medicine · Clinical rotations · common