Day 5: Bone marrow transplant

In cases where leukaemia has not responded to treatment, or when the patient relapses, then a bone marrow transplant is a common course of treatment. Bone marrow transplants are used with the aim of completely resetting the patients immunity. View all our Acute Lymphoblastic Leukaemia Week posts There are huge psychosocial implications for families during…

Acute lymphoblastic leukaemia – tumour lysis syndrome

Treating leukaemia produces its own complications. The most common time to have complications is during induction. For any new presentations of tumours, or for patients at the start of treatment, be aware of tumour lysis and how it can present. View all our Acute Lymphoblastic Leukaemia Week posts Tumour lysis syndrome is most commonly seen…


Jenna presents to ED with a mild exacerbation of her asthma and a temp. She seems to have improved and is about to be sent home when the registrar notices that her platelet count is 600 x 109 Will this just resolve or should we do something about it?

Microscopic haematuria

A previously well 3 year old girl presented to your ED with a history of fever. You have confidently diagnosed otitis media and are just about to discharge the child when the nurse mentions a urine was requested at triage and has come back positive for blood.

Hickman line

Febrile neutropenia

You’re working as the paeds reg overnight at a regional centre when ED phones you about an incoming patient – Josef, 8 – who’s in a delayed intensification cycle of his treatment for ALL and has a fever of 38.6oC. Josef’s last chemotherapy was last week, and an FBC done 2 days ago showed WCC…

Last updated by at .