Phys Written Answers · haematological
Haematological Investigation Blood Film Marrow Coagulation Tests — Written Clinical Reasoning
DCE-style written reasoning for Haematological Investigation Blood Film Marrow Coagulation Tests.
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Target exams
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation. [3]
Model Answer
1. Frame and red flags (3 marks) [3]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [3]
2. Discriminating assessment (3 marks) [3]
List the key history, examination and investigations that separate dangerous differentials from benign mimics. [3]
3. Treatment sequence (4 marks) [3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [3]
4. Follow-up and communication (2 marks)
Disposition, safety-net advice, and who owns follow-up. [3]
References3ShowHide
- [1]Adewoyin AS, Nwogoh B Peripheral blood film - a review Annals of Ibadan postgraduate medicine, 2014.PMID 25960697
- [2]Trewhitt KG Bone marrow aspiration and biopsy: collection and interpretation Oncology nursing forum, 2001.PMID 11683311
- [3]Adcock DM, Moore GW, Montalvão SL et al. Activated Partial Thromboplastin Time and Prothrombin Time Mixing Studies: Current State of the Art Seminars in thrombosis and hemostasis, 2023.PMID 36055261