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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?
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