This case is aimed in the first instance at medical students and foundation doctors/medical trainees. Please join in to develop your ability to investigate and manage common haematological issues in the context of general medicine.

SCENARIO:          You are the medical SHO on the medical admissions ward. You see an 82 year old man who has been referred in by his GP as he is symptomatic of anaemia and requires transfusion. The GP has checked his ferritin, folate and B12 which are normal.

QUESTION:           Your registrar tells you to ‘find out why he’s anaemic.’ Where do you start?

Please reply on twitter and don’t forget to include the hashtag #teamhaem. There are no wrong answers and the more you join in the more you learn.

The case will evolve over the next two weeks so please continue to check this page and @teamhaem.