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A 76 year old lady is referred to the geriatric clinic for evaluation of normocytic, normochrmomic anaemia. She had a number of other medical problems including heart failure, hypercholesterolaemia, frequent falls and  age-related macular degeneration. She takes ramipril 2.5mg od, simvastatin 40mg od, furosemide 80mg od and quinine sulphate 300mg nocte.

Blood results show:

Hb 102g/L (11.5-160)

MCV 86fL (79-96)

WCC 6.7×10*9/L (4-11)

PLT 165×10*9/L (150-450)

Ferritin 45ug/L

Questions

Geriatric patients are complex and we’re not expecting a diagnosis, but what are your initial thoughts on the above patient?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

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