Case 24 – update 1

What did you all think of our 82 year old man with a normocytic anaemia?

We have established that the patient has an Hb of 82, MCV 89, normal plts and WCC and an unremarkable film. He has normal liver functions tests but his renal function is abnormal, with a urea of 18, and creatinine of 267. He denies any melaena and PR examination is unremarkable. In fact his GP bloods show a gradual drift in his Hb over the last 6 months.

What questions would you ask when you take the patient history? And what tests would you do next?

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Anaemia, Myeloma/paraproteins and tagged , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s