Wednesday, December 24, 2014

Haematology

Dec 24, 2014  Nov 26, 2014 Oct 29, 2014 Normal

Hb 104 109 100 130 - 180
WBC 4.00 3.02 3.10 4.5 - 10.0
Neutrophils 1.80 1.16 1.43 2.0 - 7.5
Plt 551 391 427 150 - 450

With Hydroxycarbamide constant at 500 mg five days a week for the last two months Platelets have risen above normal limits (thrombocythaemia) carrying a risk of blood clots; Hb is stable at a point just above the level where transfusion might be indicated. Low haemoglobin causes fatigue. If it falls below 100, the prognosis given by DIPSS+ is affected, but UK clinicians never refer to it.

The dose is to be kept the same for the next four weeks.

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