An 18 yr old girl presents to A&E complaining of SOB and severe chest pain.
Obs show sats of 87% on room air. BP 135/80, HR 120bpm, RR 28 and apyrexial.
Routine bloods have been sent which show that she is anaemic.
HB of 72g/dl(ref 130-180).
WCC 14 x10*9/L (4-11)
plt 344×10*9/L (150-400)
ALT 40 (Normal)
BILI 47 (3-17umol/L)
CRP 120 (<5)
The patient is unable to give any history and there are no previous records for her on the hospital system. What is your initial approach? Possible differential?
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